Our hospital has separate neonatal and pediatric transport teams. The team composition is RN/RT most of the time. Staff orienting to the team will have their preceptor with them and when they're off orientation they will take a physician with them until they've completed a set number of transports and have also completed the education to be physician-less. Our RNs are in an expanded role and have the capacity to give drugs, start infusions, place lines, order x-rays and so on without physician order, although they're usually in telephone contact with the intensivist frequently as the call evolves. Our RTs are qualified to intubate and to manage ventilation. They travel by ambulance, fixed-wing or helo. Sounds like umcRN and I work on the same unit but we don't.
Our transport RNs are expected to help cover breaks on the unit, perform all intrahospital transports of PICU patients, start IVs on the wards and provide rapid response to all peds patients when they're not out. That creates a fair bit of conflict.
We also have an ECMO transport team. It consists of 2 RNs and 2 RTs (at least 2 of whom must be ECLS certified and one must be a primer), an intensivist or fellow and a surgeon. They've travelled as far as 1000 miles to cannulate and retrieve a patient.