Effects of the development of guidelines for the caring and referral of patients from road accidents at the scene of an accident, Lat Lum Kaeo Hospital Pathum Thani Province

Abstract

The purpose of this research was to develop a guideline for the care and referral of road traffic accident patients at Lat Lum Kaeo Hospital. Pathum Thani Province Data were collected in 2 phases: (1) to study factors related to length of access to health services of road accident patients; (2) to study and develop guidelines for care and referral of road accident patients. At the scene of the accident, the sample group were 23 nurses and personnel of Lat Lum Kaeo Hospital. The results were evaluated as the number of missions performed and care before and after the implementation of the new guidelines and the old guidelines for 70 times. The work of the Bureau of Emergency Medical Services, Ministry of Public Health analyzed data with descriptive statistics, namely number, percentage, mean and standard deviation. Inferential statistics were independent t-test and Chi-square at a statistical significance level of 0.05

              The results showed that the distance from the accident scene to the hospital had a positive correlation with the time to access health services (r= 0.46). than the unsupervised group. The performance according to the practice guideline for care and referral of patients from road accidents at the scene of the accident found that there were 10 operating procedures as follows: 1) Incident reception 2) Operation order 3) 4) Operations at the accident scene 5) Rescue operations at the accident scene 6) Transporting the injured from the accident scene 7) Transporting the injured to the hospital 8) Care during Bring to the hospital 9) Referral of the wounded upon arrival at the hospital 10) Actions upon returning to the base The duration of referral operations according to the new on-situ care and referral guideline for road accident patients is different from the traditional approach. statistically significant at .05