RE: stable neonate transports

[Robert Cole <EMCOLERS@adaweb.net>]

Side note: what would it take to allow a paramedic to function as a fully
active member of a neonatal team?  I know that there are very few dedicated
neonatal teams which use paramedics (not teams that do CCT and happen to do
a few neonatal as well by default) I certainly have never heard of any, but
I'm sure there is one somewhere...but what would it take?
Is this similar to what would be required of an RT? Or a "new" nurse (new
meaning new to NICU, not fresh out of school)  Are there any programs that
have credentialing process or do most say NICU experience and anecdotal
references are good enough? And if that's the case, why?
Just food for thought...
What are the thoughts on the potential contributions of having a medic on
the team (not as a driver!!!)?
I'm talking philosophical thoughts
Robert S. "Steve" Cole
Paramedic, CCEMTP
Education Department
Ada County Paramedics 
208-375-7079
emcolers@adaweb.net

"...A mind stretched with new ideas never regains its former shape"


-----Original Message-----
From: Mauseth Patrice [mailto:Patrice.Mauseth@HCAHealthcare.com]
Sent: Monday, April 01, 2002 3:48 PM
To: 'flightmed@flightweb.com'
Subject: RE: stable neonate transports


What other title could work in an NICU?  It is vital to have NICU
experience.  Not just a few classes and precepting with the patient type.

> -----Original Message-----
> From:	SUllrich@att.net [SMTP:SUllrich@att.net]
> Sent:	Monday, April 01, 2002 1:50 PM
> To:	flightmed@flightweb.com
> Subject:	RE: stable neonate transports
> 
> 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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