Transport - page 3

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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    If you're in a dedicated Childrens Hospital, the only way you get business is to transport it in. So, it behooves you to have a dedicated, fully staffed (RN, RT, NNP, EMT x2,...) Transport team on the premises @ all times, including the Ambulance. (Absolutely nothing gets your HR up like cooling your heels waiting for the "bus" ) And a second team on call. Let's not forget those fun filled Life Flights, either.

    If your unit has mostly "in-born" babies, i.e, L&D is down the hall, and maybe hi-risk antepartum moms, your transport team will probably be less busy, and you'll have to pull your team together from whomever is already on duty. Minimum personnel might be a Fellow level MD, RN, RT, and EMTs (they can be very helpful!). All the RTs and most of the nurses need to be trained and competent to go out.

    @Bortaz--I get the feeling you're getting pushed into this??
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    Yeah, they'd like to, if I weren't dodging so quickly.

    There is no plan, no training, no common sense being used.
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    Sounds like "they" want to do it the hard way. The transport teams w/which I'm familiar have evolved over many years--the hair raising tales I could tell! Like trying to get the Navy or Coast Guard to take us out to the desert, the "surprises" other hospitals had waiting for us. It got a lot better when we started to do outreach education @ the referring hospitals, developing ALS nurses' roles, having Neo attendings rounding @ the referring hospitals, that sort of thing.

    There is NO reason whatsoever, imo, to re-invent the wheel. It may be necessary to get MORE involved, not less. (not what you want to hear, but I think you are ready, from a career standpoint, to get into the mess.)

    You know I wish you the best, for yourself and your babies. Be brave!
    Bortaz, RN likes this.
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    The issues are as follows:

    1. Every nurse on the unit is required to sign up for call, regardless of skill level/comfort level/competency.
    2. NO training. "We got a new transporter. It's parked over there. Familiarize yourself with it when you have time."
    3. "We are NOT training anyone to intubate! The babies will already be intubated when you get to the hospital!"
    4. No MD or NNP traveling. Facilities we'll be servicing are all rural, 2-3 hours away, non-peds facilities.
    5. We're a border town, where 50%+ will have no prenatal care, no steroids, etc.

    and on and on and on.
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    Lordy. WHY do they want to do them in the 1st place?
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    Is it only an RN? Are you able to send an RT with you too at least?
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    Holy crap, wonder what legal would have to say!!! We have been called to testify on kids we have picked up!
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    There are 3 level 3 NICUs within 10 miles, so we're doing it for the business, I'm sure. And yeah, an RN and an RT is the team, plus whatever the ambulance crew can help with. I doubt legal knows we're doing it.
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    The more I hear, the less it seems to be workable. Not every hospital should do every thing. I guess you should keep on dodging if you can. Yikes.
    Bortaz, RN likes this.

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