RE: stable neonate transports

[Mauseth Patrice <Patrice.Mauseth@HCAHealthcare.com>]

We require the RN's must be eligible for their staff RN III which is 3
full-time years of experience.  It is required to have at least one year in
a level 3 NICU.  Essential skills are those required to comfortably care for
the highest risk patient.  I'm not sure if I can write exactly what that
means.  Certified for art sticks, advanced neonatal assessment skills etc.
Optional skills would be PALS and PICC line certs.  Our RT's intubate.
We either send a Neonatologist or NNP.  The rest is picked up by them.

> -----Original Message-----
> From:	Robert Cole [SMTP:EMCOLERS@adaweb.net]
> Sent:	Tuesday, April 02, 2002 2:23 PM
> To:	'flightmed@flightweb.com'
> Subject:	RE: stable neonate transports
> 
> How about getting on the (I think) very good question of what makes one
> (educationally/clinically, objectively) competent to do NICU transfers.
> It seems the only one who thinks this is a turf battle is the people on
> the inside.  I was just trying to ask a legit question: Define level of
> competence.
> For example if one says NICU experience...how much? at what type facility
> as it varies quite a bit....and that's a start, what about courses?
> What are essential skills?
> What are optional skills?
>  
>  
> 
> 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: Linda J. Wise [mailto:LWISE@mail.mcg.edu]
> 	Sent: Monday, April 01, 2002 7:28 PM
> 	To: flightmed@flightweb.com
> 	Subject: RE: stable neonate transports
> 	
> 	
> 	What a great question.  In our experience  (hospital based dedicated
> neonatal transport team consisting of RN/RT)     our RT's usually join the
> team with extensive NICU experience   but are required to take the same
> didactic and skills training as the RN's.  they are expected to meet all
> competencies .   I have found it more challenging to get the RT' s
> oriented because they are respiratory specific in their expertise but it
> is well worth the effort.  The RT's learn to calculate drugs, and drips,
> start IV's place UAC/UVC as examples.   However we have yet to have an RT
> on our team who was not able to perform admirably on the team. [[Our team
> also functions as the ECMO team so the same RT's after orientation to
> trasnport are oriented to ECMO,  by this time they have gained experience
> in assessing  and treating the whole patient and they are successful in
> this function as well. ] Our RN's and RT's truely function as a team and
> are able to perform each others duties.   Now to the point.  .  I believe
> from this experience that a paramedic with extensive NICU/peds experience
> or anyone with critical care experience  could function wellin this
> capacity  understanding that they will be going through the same training
> which may [or may not] take a little longer depending or their experience.
> I personally would want them to have at least 18 months oriented to the
> unit first as a minimum to get familiar with standards of care and
> practice related to neonates first.  Then enter the orientation phase.
> Regardless of experience we require this time in the our NICU for all
> transport team members.
> 	 
> 	What makes a good transport team member?  Regardless of initials,
> it is someone grounded in critical care care, with a strong sense of
> dedication to the patient and the team.  A person willing to learn and
> practice with diligence at all times so they can  preform their duties to
> the best of their ability and to provide the best possible chance for a
> good outcome for the patient.   
> 	 
> 	IMHO
> 	Linda Wise, RN
>  << File: Robert Cole.vcf >> 

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