It seems to be a curiosity that most of the pediatric/neonatal teams I have managed or am aware of use the RN/RN or RN/RT configuration. I have always been told that this is because the RT or RN is able to intubate in their home facility to keep up their skills in a concentrated population. Don't get me wrong - I have appreciated and admired my RT partners, but it always seemed like we could use Paramedics, and then have the additional skills of IV placement, etc. I think we then run into the hospital politics of what do you do on the downtime, since the hospital environment has never seemed particularly bent on accepting PM for clinical care.
