Ma Amy L, Cohen Ronald S, Lee Henry C
Department of Pediatrics, Stanford University, Stanford, CA 94305, USA.
California Perinatal Quality Care Collaborative, Stanford, CA 94305, USA.
Children (Basel). 2020 Oct 1;7(10):155. doi: 10.3390/children7100155.
Wildfires have been affecting California greatly, and vulnerable patients in neonatal intensive care units (NICUs) are not exempt. Our aim was to learn how personnel working in NICUs of California hospitals handled issues of neonatal transfer during wildfire disasters in recent years, with an ultimate goal to share lessons learned with healthcare teams on disaster preparedness. We identified California fires through newspaper articles and the CalFire.gov list. We determined which hospitals were affected and contacted members of the healthcare team through connections via the California Perinatal Quality Care Collaborative (CPQCC) database. We audio recorded interviews over phone or remote conferencing software or by written survey. We coded and analyzed transcripts and survey responses. While describing disaster preparedness, equipment (such as bassinets and backpacks), ambulance access/transport and documentation/charting were noted as important and essential. Teamwork, willingness to do other tasks that are not part of typical job descriptions, and unconventional strategies contribute to the success of keeping NICU babies safe when California wildfire strikes. Healthcare teams developed ingenious and surprising ways to evacuate NICU babies.
野火对加利福尼亚州造成了极大影响，新生儿重症监护病房（NICUs）中的脆弱患者也未能幸免。我们的目的是了解加利福尼亚州医院新生儿重症监护病房的工作人员在近年来野火灾难期间如何处理新生儿转运问题，最终目标是与医疗团队分享在灾难准备方面吸取的经验教训。我们通过报纸文章和CalFire.gov列表确定了加利福尼亚州的火灾。我们确定了哪些医院受到影响，并通过加利福尼亚围产期质量护理协作组织（CPQCC）数据库的联系，与医疗团队成员取得了联系。我们通过电话、远程会议软件或书面调查对访谈进行了录音。我们对转录本和调查回复进行了编码和分析。在描述灾难准备工作时，设备（如婴儿床和背包）、救护车通行/运输以及文件记录/图表被视为重要且必不可少的。团队合作、愿意承担不属于典型工作职责的其他任务以及非常规策略，有助于在加利福尼亚州野火来袭时成功保障新生儿重症监护病房婴儿们的安全。医疗团队想出了巧妙且令人惊讶的方法来疏散新生儿重症监护病房的婴儿。
