RE: stable neonate transports

[SUllrich@att.net]

Again, I think we can leave titles out of the discussion 
as to who should transport neonates.  The important 
thing is that you have the specialty training and 
equipment to care for this unique group of patients.  In 
most cases this means someone who works routinely with 
neonates and is familiar with the neonatal transport 
environment.  I would resist any temptation for adult or 
pediatric trained caregivers to transport neonatal 
patients no matter how stable. I also agree that to call 
yourself a critical care team, you should have two 
highly trained individuals in the patient care 
compartment of the transport vehicle.

Steve Ullrich, RN
> Our state laws require the team composition to include a neonatal RN.  Our
> team feels that regardless of what the law reads, we would send the RN
> anyway.  Neonates  can go downhill very quickly.  Their care is a specialty.
> An RN would be the minimum we would send.
> 
> > -----Original Message-----
> > From:	sdeboer@uchospitals.edu [SMTP:sdeboer@uchospitals.edu]
> > Sent:	Friday, March 29, 2002 9:06 PM
> > To:	nicu-net@u.washington.edu; flightmed@flightweb.com
> > Cc:	dzeglin@uchospitals.edu
> > Subject:	stable neonate transports
> > 
> >      Greetings - Our medical center based team is utilized for all
> > critical 
> >      care transports into our house (neonatal/pediatric/adult) & we 
> >      commonly only have one crew on duty per shift - with this staffing 
> >      pattern, we can miss flights because we are transporting a "perfectly
> > 
> >      stable" newborn - as we routinely triage peds & adult patients as to 
> >      appropriate crew configuration (full transport team vs. specialty 
> >      medics alone), we feel that our specialty trained paramedics could 
> >      very appropriately transport these babies as well without having an
> > RN 
> >      present - I am looking to see what other facilities require in
> > regards 
> >      to crew configuration for stable neonates (i.e. hyperbili, coming for
> > 
> >      a neuro/ortho eval,etc) - i.e. is a transport nurse always needed for
> > 
> >      babies & why?
> >      Thanx for your input
> >      Scott DeBoer RN,MSN
> >      Flight Nurse Educator : UCAN
> >      University of Chicago Hospitals
> >      Chicago, IL USA
> > 
> > 
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