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



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Fw: stable neonate transports





 Doug,

 Here Here

Jim Kendrick
>
> ----- Original Message -----
> From: "Doug Gadomski" <gadomski@unm.edu>
> To: <flightmed@flightweb.com>
> Sent: Thursday, April 04, 2002 11:25 AM
> Subject: Re: stable neonate transports
>
>
> > I've been watching this thread closely and since it strikes so close to
> home I finally felt somewhat
> > compelled to comment. Just for the record, I've been flying neonates
> (stable to critical) as a paramedic
> > in New Mexico (Albuquerque) for 14 years. The neonatal transport team
does
> currently hire paramedics for
> > full time, active positions and they contribute as much as anyone else
on
> the team. The program provides
> > initial training for all their people (regardless of their initials...)
> and requires a specified amount
> > of OJT in a supervised capacity. Over the years, I've seen many
> "experienced" paramedics, neonatal
> > nurses, and neonatal nurse practitioners suddenly flounder when taken
out
> of their "normal" environment
> > and placed in this very specialized transport realm. A few take to it
like
> a duck to water, others may
> > take varying lengths of  time to become truly functional doing
transport.
> Some never do. I don't want to
> > understate the many nuances involved in transporting/caring for
neonates,
> but the question may not be so
> > much one of  previous experience or the initials following your name as
it
> is about the right attitude.
> > Sometimes that means throwing your ego out the window, knowing what you
> don't know (and subsequently
> > learning it), and not being afraid to ask for help. Granted, some
> requisite experience is necessary
> > (that's where the training comes in...) to assure a certain competence
in
> care (but as we know, that's
> > not necessarily a guarantee) and you MUST have the proper equipment.
Let's
> face it though, even the most
> > senior among us at some point started our career paths without the
benefit
> of much "previous experience."
> > Amazing as it may seem, we all were taught, learned a trick or two along
> the way (even more doing
> > hands-on care), and became the fine professionals we are today.... Can a
> medic safely transport stable
> > neonates? If I'm any example, the answer is simply yes. Anyone given the
> proper training and a chance to
> > do the job may also do so.
> >
> > Doug Gadomski
> > Flight Medic
> >
> > Open your mind, your eyes will soon follow...
> >
> >
> >
> > Robert Cole wrote:
> >
> > > 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
> >
> >
> >
> > _______________________________________________
> > Flightmed mailing list
> > To unsubscribe or change your email address, go to
> http://www.pairlist.net/mailman/listinfo/flightmed
> >
> >
>



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