charlesin

I'm a surface transport RN and I work 24 hour shifts -- when we don't have a call we hang out at our "quarters" which is a glorified apartment. I spend my time studying, sleeping, watching movies, and eating. I have gone 24 hours without doing a single call, which basically feels a lot like spending a lazy Sunday hanging out. We are based out of Seattle -- send me a private message if you are interested in doing surface transport.

Thank you for your response. In the Interfacility Transports guide published by the National Highway Traffic Safety Administration they provide the following recommendation: Medical oversight is variable and depends on State and local regulations As per the Emergency Medical Treatment and Labor Act (EMTALA), the referring physician is responsible for the patient being transferred from one facility to another, until the patient arrives at the receiving facility On-line medical direction may be provided by the referring physician, the accepting physician, the transfer- ring agency medical director, the medical director's proxy for specialty care issues, or some combina- tion of the above This often is determined by the State and local regulations, and may differ between jurisdictions For example, in some jurisdictions, if the transport vehicle is owned by the receiving facility that liability begins when the crew assumes care of the patient (pg 12) DOT HS 510 579Of course this information may be more applicable for surface transport and it appears you are a flight nurse based on your user name :) At any rate, interesting to hear your stance on not working from orders from the sending doc... ever. Is that based on your company recommendations, state recommendations, or just a rule of thumb you've been going on?

Hi I work for a new-ish transport company that has a CCT program and was wondering if other RN's have standard orders or protocols that they use, or do you obtain orders from sending facility before transporting?

Emcrit.org has been the gateway for most of my self-education. It is a terrific podcast with TONS of archived episodes with a wide range of topics. I also recommend going to his "favorites" tab and looking at the websites and podcasts that he features there. I have also found a lot of good use from youtube. This guy Rahul has a bunch of good videos (especially related to peds). Here is one about LVAD's Much of the transport RN is dealing with things that are typically in the domain of the RT in the hospital. So I've found it's good to familiarize yourself with nebs ( ) and learn your specific ventilator. Emcrit has a really good ventilator lecture for settings, etc. Youtube tends to have a ton of ventilator specific videos.Good balloon pump stuff: IABP Self Education - Quizes http://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0017/221219/liverpool_SDL_IABP.pdf Pump Tutorial General Info Cardiology in Critical Care-IABP IABP scenarios IABP - Intra-aortic balloon pump scenarios Also this iphone app is hands down the best I've found: https://itunes.apple.com/us/app/critical-medical-guide/id504065732?mt=8