Quote from LizzyL&DRN
We recently had a case where a pregnant woman was being transferred to another facility when she started to seize during the flight. The flight crew which according to them "had no OB experience" decided to stop at our facility to make sure the baby was ok. We ended up admitting the patient and dealing with her seizures, but here's my question.....Are there flight teams that are OB trained? Do they hire high risk OB nurses to accompany these patients during maternal transports?
Could you please clarify that you actually heard them say: "had no OB experience." My next question is: What was the crew configuration ? Two RN's or RN/RRT or RN and Paramedic.
Its hard for me to believe that an unqualified flight team was sent on this transport. They may have not been very good at high risk OB but I just can not fathom being sent on a call without experience or training in that area.
Not all flight nurses have an OB background (but we love it when they do, PLUS the other pre-req's), most have some combination of ICU and ER (and although in the ER there is some OB, it is minimal). However when you are hired and the program does high risk OB then, in my experience, you are trained to care for high risk OB and in my program we need to maintain compentancies QUARTERLY... every 3 months we do at least 4 hours each in L&D and the NICU. (plus every other specialty you can think of including OR for intubations and SIM man). we also must maintain NRP and all the rest.
We have Standards of Care that outline our programs plan for treating HROB: everything from Trauma and Pregnancy to Pre-term labor to Pre-ecampsia and eclampsia and HELLP syndrome. We carry Mag Sul/Pitocin/Terbutaline/Hydralazine/Labetalol...etc... When we do a transport we ALWAYS receive report/assess the patients and then call the receiving OB and update them before leaving. If we run into some problem that my partner and I should not know the answer or have a question then we call our Medical Director AND NEVER has he ever chastised anyone for calling. So as far as my personel experience I feel comfortable transporting MOST HROB... exceptions like Mom's at 7cm and pushing, then she is not getting in the Helicopter.