d. Obtain Any Additive Support. Intravenous (IV) sets and fluids, including
additives, will accompany the patient during the flight when required.
e. Accomplish Any Need for Bladder Catheterization. If catheterization is
required, the ward nurse should request the ward physician to determine whether or not an
in-dwelling catheter should be inserted. In cases requiring catheter irrigation, a supply of
solution is provided to accompany the patients. If constant drainage is necessary, 4 to 5
feet of draining tubing and draining bags are included.
f. Obtain/Accomplish Other Special Needs of Patients.
(1) Supports/splints are provided for paralyzed extremities to prevent footdrop
or other complications. Paraplegic patients are on Stryker frames. Cervical injuries should
be in traction or Thomas collars, if traction is not deemed appropriate. Patients who have
undergone intraocular surgery or have a severe eye disease are classified as litter
patients. Tuberculosis patients are classified as litter patients. Patients are evacuated in
hospital clothing and masked. Adequate supply of masks are provided. Special items
such as incubators, croupettes, monaghan, respirators, etc., should be available upon
(2) Class XA neuropsychiatric cases are brought by Nursing Service personnel
on a litter in pajamas, sedated, and restrained when necessary. A medical card with
dosage and time of last sedation given to Class XA and XB cases will accompany patients
as an aid to the flight clinic coordinator.
(3) When evacuating a litter patient, Nursing Service personnel pick up a field
type litter, blanket, pillow, litter straps, and restraints, if required, from the patient
evacuation section or medical supply NLT the day prior to the patient's departure. Litter
patients are moved by nursing personnel to the evacuation staging area. Patients should
be in the staging area NLT 30 minutes prior to departure. Patient evacuation personnel
notify the wards on the time the patient is required to be in the staging area. Nursing
Service personnel are responsible for the proper preparation of the litter.
(4) Nursing services furnish an attendant to accompany the patient(s) to the
flight line when the attending physician designates the need for special medical attention.
Female chaperones are required when unaccompanied female patients are evacuated.
Attendants (usually patient administration specialists) control medical records and drugs
en route. As much lead time as possible is provided to the patient evacuation personnel.
(5) Direct all ambulatory patients to the baggage room to process outbound
baggage NLT the day prior to flight. Ward personnel must make arrangements for
movement of baggage to the baggage room for all non-ambulatory patients.