Table 2 The thematic framework explaining the themes and sub-themes about preparedness of NHHCs in managing the LTE patients
Themes | Sub-themes | Issues |
|---|---|---|
Input | Medical equipment and supplies | Having medical supplies and equipment for airway management, respiration, circulation and shock |
Having medical supplies and equipment for the management of specific injuries | ||
Having sterilization equipment | ||
Usability of equipment and supplies to provide prompt and uninterrupted initial interventions | ||
Environmental infrastructures of centers | Location of centers | |
The layout of the internal physical space appropriately and according to the standard | ||
Emergency Medicines | Having essential emergency medicines | |
The adequacy of emergency medicines to manage LTEs | ||
Having some medications, such as benzodiazepines and opioids | ||
Human resource | Having enough human resource | |
Having an expert team including physicians and nurses for first aid and CPR when managingLTE patients | ||
Having a human force with practical knowledge and skill | ||
Protocols, Guidelines and Policies | Protocol for the management of acute coronary syndrome | |
Protocol for managing multiple trauma patients | ||
Dedicated guidelines for LTEs referral | ||
Written guidelines for LTE potential management | ||
Maintenance and calibration policies of medical equipment | ||
Process | Providing Clinical Services | Basic airway management, respiration, circulation and shock |
Oxygen | ||
External hemorrhage control | ||
Basic fracture management and splinting of external fractures | ||
Spine Immobilization in Multi-Trauma Patients | ||
Basic management of wounds and burns | ||
Maintenance of Equipment | Having a routine plan to repair the equipment | |
Contract with reputable companies to routinely control equipment and ensure its proper operation | ||
Medicine Storage Capacity | Adequate monitoring of drug stocks based on the routine schedule | |
Having a plan to request and supply medicines. | ||
Storage of medicines in better conditions | ||
Management Process | Proper referral system | |
Continuing medical education | ||
Mortality audit of LETs or risk management in order to prevent possible errors | ||
Outcome | Pateints’ Satisfaction with the Quality of Care(Technical Quality-Services Quality) | Effects of facilities of the centers as their service providers qualifications of patient satisfaction |
Improved Survival of LTE Patients | Percentage of successful CPRs | |
Mortality rate | ||
Survival of myocardial infarction |