Transport - page 2

by babyRN0404

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Just wondering what everyones protocol is for training to be transport. Is everyone required to do it? Is there a special team in your NICU? Thanks!... Read More


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    Quote from babyRN0404
    I have been a transport once, on orientation, and it was basically put leads on the kiddo and out the door (no lines, nothing special).
    I'm going to assume this kid wasn't coding then...? Because around 50% of our transports to us are and the RN is supposed to run it. Line them if needed and get kid back to our hospital alive.
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    We transport from a lot of hospitals with no NICU... therefore we get a lot of random things, from extreme prematurity to hypoglycemia.... never know what you are going to get. Some are kids barely holding on- rarely it is a quick transport like that.
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    @Bortaz---that's the way we did way back when! I went on the 2nd neo transport in the county ~ 1971 or so; personnel: me and the 2nd yr resident, the ambulance driver, and some other guy. We sat on the floor in the back of a Cadillac ambulance, w/the owner of the ambulance co driving. Baby was a 35 wk-ish, jaundiced baby, maybe a little septic. Oh, and Dad rode back w/us. We drove 266 mi roundtrip in ~ 4 hrs! Had to stop for gas, too. Baby did fine. Took ~ 10 years off my life, tho.
    fiveofpeep likes this.
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    Yeah, most of ours will be 1.5-3 hours roadtime round trip. I'm certainly not comfortable with it so I've "forgotten" to sign up for call so far.
    prmenrs likes this.
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    Quote from umcRN
    I'm going to assume this kid wasn't coding then...? Because around 50% of our transports to us are and the RN is supposed to run it. Line them if needed and get kid back to our hospital alive.
    50% of your transports are CODING?!!!!! What the he@# is wrong with your referral hospitals? I've been doing this a very, very long time (for Level 3 and 4 NICUs with ECMO and open hearts) and our statistics were never even close to those statistics!
    NeoPediRN and babyRN0404 like this.
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    I can count on one hand the number if kids that were near coding or did. We had to land in a Kmart parking lot once because we had a kid code and the weather was bad. I had one that we were coding on our way and pronounced on the helipad. Bad news. I can't IMAGINE running those by myself with only the flight nurse and RT.
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    Quote from NicuGal
    I can count on one hand the number if kids that were near coding or did. We had to land in a Kmart parking lot once because we had a kid code and the weather was bad. I had one that we were coding on our way and pronounced on the helipad. Bad news. I can't IMAGINE running those by myself with only the flight nurse and RT.
    That's kind of what I'm thinking. I might have to use two hands but only because I've been a nurse for so long. Although I no longer transport, of the three teams I was on 2 were "nurse-lead" which meant we ran the codes even if we were still at the referral center; and we ran them with only a second team member who was either a medic or an RT. The third team was way back in the 80's and we took residents at the time (they don't any longer).
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    Quote from babyRN0404
    Just wondering what everyones protocol is for training to be transport. Is everyone required to do it? Is there a special team in your NICU? Thanks!
    There is training.. You apply and then have an intense training... I would assume it would be specific to your department and level of your nicu
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    Quote from NicuGal
    That sounds like a flawed plan! We go out with an RT and fellow, we can't intubate but we can do lines and art sticks. We have training on the isolette and get checked off on helicopter and ground transport by the flight nurses and pilots. We have to go thru a life flight training for safety. We also require 2/3 years experience and have compentencies to do.
    In our nicu you have to have 2 years full time experience ...maintain 0,3 fte in the unit and attend so many deliveries in a quarter... You also have to have so many intubations and line placements.. We also go on transports with an rt and if the baby is 32 weeks and younger you take a doc
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    We have an RT, RN, EMT and an NNP for all NICU transports. RT/RN/NNP is cross trained for all procedures and competency is done during orientation which differs in length depending on transport volume and again annually for procedure labs.

    RT/RN/NNP experience requirements vary but are typically 3 years of Critical Care experience along with preference to C-NPT holders and EMT experience.

    The RT, RN and NNP and EMT are all assigned to transport by their own departments but when they're on shift as transport they're not in regular assignment. They act as a clinical resource to the NICU RNs and RTs, providing support and covering lunch/potty breaks.
    Last edit by roquen on Feb 4, '13 : Reason: added for more clarity


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