CPES© In the box

Evacuation Cruciform Card

The card folds to show clinical dependency of the patient on the front while providing more detailed information on the back.

The card's GS1 barcode, shown by default on the back of the card, can also be indicated on the sleeve by using one of the provided GS1 barcode stickers.

A strip with stickers and wristband is also provided as detailed on the next slide.

Evacuation Cruciform strip

The Evacuation Cruciform card includes a detachable strip as shown on the left. The strip provides the following:

• Evacuee Wristband encoded with GS1 barcode
• Nine GS1 barcode stickers
  One should be used for the corresponding entry in the Evacuation Ward/Department Logbook.
• Additional stickers below the barcodes can be used to indicate specific needs and can be attached to the front of the outer sleeve. For example "Assessment Required", "Needs Isolation", "Needs Respiratory Protection", "Needs Continuous Escort". A sticker is also provided to show that the patient is undergoing End of Life Care (EoLC).

The next slides further detail the various sections of the Cruciform Evacuation card.

Evacuation Cruciform Card (front)

Folded and housed inside the waterproof sealable bag, the front of the Evacuation Cruciform card provides at a glance information about the clinical dependency and needs of the patient for hospital staff at all levels. Red, yellow and green indicate high dependency, dependency and independence respectively.

Mobility information can be seen at-a-glance through simple box marked graphics, for example wheelchair or bed-bound. Available indicators are provided according to the level of dependency.

Further detailed information can be provided:

At dispatching Location:-

• Ward/Dept. name and departure time
• Discharge area arrival and departure time

At receiving location:-

• Receiving location name and arrival time
• Receiving location departure time and Ward/Dept. arrival time
• (or) Other location name and arrival time

Evacuation Cruciform Card (back)

The back of the Evacuation Cruciform card shows the unique GS1 Evacuee barcode. Once the strip of barcode/special needs stickers and wristband have been removed for use, the back of the card provides additional patient information, patient management notes and comments box.

The following information can be indicated:

Patient Information:-

• Location of hospital notes
• Location of drug chart
• Location of medication
• Dietary requirements
• Nil by mouth

Patient Management:-

• Still under active treatment
• Waiting social care/placement
• Medically fit
• Out of area patient

Evacuation Cruciform (inside contd.)

The inside of the Evacuation Cruciform card shows the unique GS1 Evacuee barcode and provides three additional sections for information. Shown on the left is the Modified Early Warning Score (MEWS) Module. The MEWS is a simple guide used by hospital nursing & medical staff as well as emergency medical services such as ambulance services, to quickly determine the degree of illness of a patient.

It is based on data derived from four physiological readings (systolic blood pressure, heart rate, respiratory rate, body temperature) and one observation (level of consciousness, AVPU). The resulting observations are compared to a normal range to generate a single composite score.

The MEWS Module allows for 5 readings to be taken and recorded. Each of the readings and the observation is given a number, ranging from 0 (normal range) to 1, 2 or 3, depending on the variance from the normal range...

Evacuation Cruciform (inside contd.)

Additional information about MEWS

The 5 readings are added together to give the composite score. Simple interventions, such as giving oxygen, can bring a range back to normal. It is for the responder to determine which intervention might assist in bringing a varying range back to normal, but this may need significant medical intervention and a high degree of skill and drug therapy in some cases.

Staff involved in the transporting of patients being evacuated should, where possible, establish the Risk Assessment of an individual patient so they can identify the level of clinical risk and, therefore, the competencies required of the staff who will accompany the patient.

The MEWS Module also has a chart to outline the variant readings of the data so that a score can be determined and a MEWS flowchart to guide staff on the actions needed for patients with a MEWS score of 3 or more.

Evacuation Cruciform (inside contd.)

The remaining areas of Evacuation Cruciform card duplicate the GS1 Evacuee barcode to facilitate patient identification if parts of the card are later removed. Two further information sections are provided:

• Police Casualty Evacuee Details Module (above)
• Additional Observation/Treatment/Comments (below)

The Police Casualty Evacuee Details Module is a carbon-copy sheet designed to be torn off and given to attending police officers during an evacuation incident. Details noted are also copied on the card so that any record remains with the patient.

The section includes the following information: Name, Sex, D.O.B, Address & Phone no.; Next of Kin, Relationship and Phone no.; Hospital name and Originating hospital no., Consultant, Hospital notes/charts, Type of Incident and Date. A further section is for detailing destination and related information.

The remaining Additional Comments module allows for additional notes, treatment details and observations to be given freeform by attending staff.

Evacuation Logbook (Ward/Dept)

The Patient Evacuation Ward/Department Logbook draws on our extensive experience in producing logbooks for emergency and medical use. In addition to containing an overview of CPES for medical staff inside the front cover, and instructions for using the system on the first page, the book contains the following information:

See diagram:

• Hospital Summary Evacuation Statistics (removable, carbon copied)
• Corrections page

Next slide:

• 50 Detailed evacuee logs