Flightmed archive for April-2002
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Flightmed archive for April-2002



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RE: stable neonate transports



I think the only problem is getting the actual NICU experience.  

> -----Original Message-----
> From:	Robert Cole [SMTP:EMCOLERS@adaweb.net]
> Sent:	Monday, April 01, 2002 4:36 PM
> To:	'flightmed@flightweb.com'
> Subject:	RE: stable neonate transports
> 
> 
> 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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> > 
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