Re: Incoming Fixed WIng flight personnel on ground units

[Sara Kautz <skautz@yahoo.com>]

Michael,
EMTALA has regulations that somewhat address part of
your question, although they are somewhat vague. 
Sending facilities must determine an appropriate level
of care when transferring.  Most facilities include on
their transfer orders (required by EMTALA) what the
minimum care should be...ie. ACLS vs BLS, mode of
transportation, etc. 
In our program, we would never hand off a patient and
it has never been an issue.  You do, however, have to
be very careful.  Not all BLS units carry ACLS
supplies!  So you need to make sure you carry what you
need onto the ground ambulance.
I have heard (but can't say for certain...so don't
quote me please) that some states like Utah for
example, require CAMTS certification for air-medical
programs and have limits on the number of flights that
a non-CAMTS team can bring in.  Anyone familiar with
that aspect?
Sara Kautz RN BSN CEN
Chief Flight Nurse
Yampa Valley Air Ambulance (Formerly Mountain Flight
Service
Steamboat Springs, CO  



--- "Michael D. Graf NREMT-P" <airresq@prodigy.net>
wrote:
> Hi all question for the group,
>       Can anyone help me with your states
> jurisditional requirements regarding fixed wing
> flight personnel operating in the back of an
> ambulance while transporting from the aircraft to
> the receiving facility.
> 
> Quite often patients are transported from state to
> state, when a flight crew arrives to pick up a
> patient whether it be in their base state or out of
> state, the ground unit that is sent is either BLS or
> ALS.  My question is if a BLS unit is sent to pick
> up or the crew or patient requiring ALS care, what
> guidelines are there state by state for flight crews
> to operate in the back of another states ambulance
> or do we need to have ALS units pick us up for
> transfer of our patients to the receiving facility.
> 
> Thanks
> 
> Michael D. Graf NREMT-P
> Director Air Medical Operations
> Able American Jets
> Ft. Pierce, Florida  
> 


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