Referal Transport

Introduction

Referral Transport Scheme was initiated on 14th November 2009 in the State. It is now branded as “Haryana Ambulance Services”. All the districts of Haryana are covered under the scheme.

Total Ambulances: 621 ambulances (158 Advance Life Support, 165 Basic Life Support ambulances, 260 Patient Transport Ambulances and 32 Kilkari/Back to home, 6 Neonatal ambulances) operational, which are managed by Decentralized Control Rooms operational in 21 districts of Haryana except Charkhi Dadri. District Control Room is managed under the supervision of one Fleet Manager with the help of 4 Control Room Operators.

Services provided: - Free transportation services are provided in following conditions:-

       Any patient in emergency.

       Pregnant women.

       Victims of road side accident.

       Post-natal cases in case of emergency till 6 weeks after delivery.

       Sick infants and sick child till 5 years of age.

       Severe Acute Malnutrition (SAM) Children.

       Back home to women after delivery and Children upto 5 years of age.

       Freedom fighters/ Ex-servicemen/ their dependent to Military Hospital within the district. If there is no Military Hospital within the district then free transportation will be provided to the appropriate public health facility within the district.

       Mental/ psychiatric emergencies.

       Inter facility transportation.

       All transportation from home/site to Private health facility in case of emergency within the district will be charged @ Rs. 7 per K.M for BLS ambulances and @ Rs. 15 per K.M for ALS ambulances/ Neonate Care Ambulances.

 

Objective: Referral Transport Scheme is to provide pre-hospitalization care and transport to the patients in emergency, and to increase institutional delivery by transporting pregnant women to health facilities and to tertiary care health facilities and back-home services within the districts. Also, One Kilkari Ambulance/ hired vehicle has been designated as Hearse Van for the transportation of dead bodies of COVID – 19 suspected/ Positive patients in each district w.e.f. 8th April, 2020.

Manpower:          1 Fleet Manager, 4 Control Room Operator, 3 EMT and 3 Drivers on each BLS, ALS & Neonate Ambulances, 3 driver on PTA and one driver on Kilkari ambulances.

Stationing of ambulances

       As per the guidelines of GOI  there should be 1 ALS and 4 BLS available to cover 5 lakhs population

       Four ambulances including ALS/BLS/PTA & Kilkari are stationed at Civil Hospital,

       One ambulance is stationed at Sub Divisional Hospital, Community Health Center

       Preferably one ambulance in each Primary Health Center.

       Districts have the privilege to station the ambulances as their need.

 

                                                  

 

Salient Features

·         Two lines of toll free no 108 are operational in each control room of the districts to provide easy access to ambulance services.

·         Call logger is operational in all control rooms.

·         GPS device, 3 Video Camera and AEBAS machine installed  in ALS, BLS and PTA ambulances. 

·         Uniform has been provided to drivers and EMT’s (Emergency Medical Technician).

·         The Mobile Closed User Group (CUG) Sims has been provided on each ambulance of Referral Transport Scheme in the State to provide easy communication from ambulance and control room and with outreach workers like ASHAs and ANMs.

·         The refueling of ambulances is done through petro cards in collaboration with Indian Oil Corporation Ltd.

·         Online Referral Transport Application is available on National Health Mission Haryana Web Portal. The details of all the patients transported are captured in this application.

·         Online portal Referral Transport repair monitoring system (RTRMS) has been implemented for timely approval of repair requested from districts.

·         State has procured one Advanced Life Support Ambulance, One Neonatal Care Ambulances and 198 Patient Transport Ambulances during F.Y. 2021-22 and delivered in all district of Haryana.

 

Performance Indicators:- 

Indicators

2017-18

2018-19

2019-20

2020-21

2021-22

2022-23 (Till August 2022)

Total Ambulances

352

359

409

408

635

621

Total patient transported

470004

430653

469314

524849

420495

180105

Average Response Time

16 minutes

16 minutes

16 minutes

15 minutes

13 minutes

13 minutes

Average time taken in dropping the patient at health facility

40 minutes

40 minutes

40 minutes

35 minutes

33 minutes

33 minutes

Calls per vehicle per day

3.5

3.5

3.3

4

3.7

3.3

Average kilometres per ambulance per day

151 kms

168 kms

190 kms

162 kms

162 kms

133.7 KMS

 

The physical achievements are as follows:

 

Year

Total cases

Pregnant women

Roadside accident cases

Referral from one health facility to another

Other Emergencies

2017-18

470004

162365

27862

136033

143744

2018-19

430653

136423

24599

141884

127747

2019-20

469314

141009

25744

157486

145075

2020-21

524849

105361

22239

143016

254233

2021-22

420495

214892

81722

27257

96624

2022-23

180105

42446

13302

60873

63484

(till August, 2022)

 

Trainings of EMTS:-  EMTs will act as a ancillary to the Emergency ward and Labour room. But priority will be remain to accompany the patient during referral case.

       24 EMTs trained for 42 days at GVK- EMRI Hyderabad during FY 2012-13 in the following trainings. 

          Basic Life Support (BLS),

          Advanced Cardiac Life Support (ACLS) ,

          International Trauma Life Support (ITLS)

          Advances Life Support Obstetrics (ALSO).

       471 EMTs trained for 26 days during FY 2015 to 2018 (6 days at State Institute of Health and Family Welfare & 20 days in SNCU, Emergency, Labour room in districts)

          Emergency and Trauma Life Care’

          Basic Life Support (BLS) ,

          Advanced Cardiac Life Support (ACLS),

          International Trauma Life Support (ITLS)

          Advances Life Support Obstetrics (ALSO)

       125 EMTs trained for 7 days at GVK- EMRI Hyderabad during FY 2019-20 in the following trainings. 

          Basic Life Support (BLS),

          Advanced Cardiac Life Support (ACLS) ,

          International Trauma Life Support (ITLS)

          Advances Life Support Obstetrics (ALSO).

       138 EMTs trained for 7 days at GVK- EMRI Hyderabad during FY 2021-22 in the following trainings. 

          Basic Life Support (BLS),

          Advanced Cardiac Life Support (ACLS) ,

          International Trauma Life Support (ITLS)

          Advances Life Support Obstetrics (ALSO).

Trainings of Drivers :- 

·         Drivers have been provided Basic Life Support training by GMCH-32 and also in districts (one day training).

·         719 drivers have been trained in Safe Driving Skills Training at Institute of Driving Training & Research (ITDR), Bahadurgarh (one day training).