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1. Key Recommendations for operational useFor use by: ScotSTAR Neonatal : Internet: No1InformationAvailable 0700-2300 Mon-SunCurrently not certified for iNO transfersNot suitable for transfers to/from Tiree, Barra and Campbeltown – no ramp for loading/unloadingThe team will travel by Kingair to the referring centre (clipdock required) and return with the patient in the SAAB 340. The SAAB will travel with the Airkit base and the incubator will be transferred from the trolley/clipdock to the base at the airport.2PPELevel 2 PPE should be worn as detailed in CV010 Neonatal Transport pathway in cases of suspected or confirmed COVID-19 infectionPilots do not require PPE as they are in sealed cabin with no patient contactLoganair Cabin Crew have been face fit tested and 6629400304800will also be wearing Level 2 PPE 3Loading/UnloadingCargo ramp will be positioned for loading/unloading by ground crewConsider personnel required for appropriate moving and handling due to Airkit weight (166kg)Do not carry bags at the same time as loading/unloading the Airkit59690508000 4Position/SecuringHead end of Airkit to be pushed up to the red line on the floorAttach Front Blue axial load strap (connection to D track underneath incubator – fit to be snug) to front end securing bracket shown.Attach Rear Blue axial load strap (connection to D track behind incubator – fit to be snug) to rear end securing bracket shown.Attach front end Orange lateral ratchet straps window / aisle sides (fit to be snug – not over ratcheted, in a 45° position) to front end securing bracket.Attach rear end orange lateral ratchet straps window / aisle sides (fir to be snug – not over ratcheted, in a 45° position) to the rear end securing bracket.6477064998600095885487426000958853261360001085851661160001085851016000196851762761001968522860005Power SupplyNo AC or DC supply on the aircraftConsider thermoregulation - extra blankets, transwarmers, thermal wrapsInfusion pumps battery will last 4hrs from fully charged at 5ml/hr – consider taking spares in bagPropaq battery will last a minimum of 2 hours fully monitoring a patient – ETCO2 and NIBP measurements utilise the most power, minimise where possible6GasesNo piped gases on aircraft One ZX sized oxygen cylinder available for use on board2 E sized cylinders secured on AirkitFurther cylinders can be secured in a Loganair cargo seat bag as shownPlace cylinders into bag (consider blankets for additional padding around cylinders prior to closing bag.Fold over four top flaps covering cargo bag opening and tighten side strapsAttach cargo bag closing straps (hook onto Bar)Close outer straps in a star formationConfiguration of oxygen to medical air ratio will be decided on a case by case basis dependent on the anticipated oxygen requirement of the babyConsider using the gas consumption calculator spreadsheet available on Neonatal Transport Website; . Document HistoryReference NumberCV013v.1Version1Writing group(Chair in bold)Lisa SummersNeonatal Transport NurseScotSTAR NeonatalYvonne GibsonANNPScotSTAR NeonatalAllan JacksonConsultant NeonatologistScotSTAR NeonatalCrawford NicholsonAir Ambulance ParamedicAir AmbulanceStephen McGloinMedical PhysicsAssociate Medical DirectorAndrew InglisDate issuedIn Draft 16/05/20Date for reviewDistribution BASICS ScotlandXMedic 1XMountain rescue teamsXReferring centres via service websitesXRural GPs Association of ScotlandXSASAir Ambulance?Specialist Services Deskfor informationScotSTAREMRS (West)XEMRS (North)XPaediatricXNeonatal ?Tayside Trauma TeamX3. Scope and purposeOverall objectives:The aim of this guideline is to outline modifications to standard practice to allow for the safe air transfer of a neonate with suspected/confirmed COVID-19 by SAAB 340. Statement of intent:This guideline is not intended to be construed or to serve as a standard of care. Adherence to guideline recommendations will not ensure a successful outcome in every case, nor should they be construed as including all proper methods of care or excluding other acceptable methods of care aimed at the same results. The ultimate judgement must be made by the appropriate healthcare professional(s) responsible for clinical decisions regarding a particular clinical procedure or treatment plan. Clinicians using this guideline should work within their skill sets and usual scope of practice.Feedback:Comments on this guideline can be sent to: scotamb.CPG@Equality Impact Assessment:Applied to the ScotSTAR Clinical Standards group processes. ................
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