EsieRN

Looks like it's just local medical ICU transport starting out. Interviewed just recently. Unsure if I will get it, but we will see. Thanks for the guidance!

Yes. I believe so.

I believe they use contracted companies that have RNs.

I tried posting this earlier, but I don't see it... From what the other facilities have posted its RN/Paramedic/EMT. And some things (including RSI, and airway management) can be delegated to the medic. Unsure what that means for my facility though. Thanks for all the wonderful questions to have, and to determine if I want to take this position or not. I will definitely be asking what kinds of skills and patients they expect us to know, and then the training they are providing! I've definitely learned to advocate for myself in the way of training.

I don't know the configuration. They haven't said much, just asked whose interested, and I said me. I WILL ask all these questions. And I have time today to look up the stuff hopefully for the other facilities in the system. I will get back to you when I can. Sorry, on my phone, I might be missing some other questions.

I'm learning not to trust..... I automatically give trust away, and I need to be more cautious about that when it comes to all aspects of my life. I don't know if I should take this job either, or not. I REALLY want it, and it puts me about 5 years ahead of "my goal schedule". Learning to intubate is something I really want to do. I want to have the independence of my practice, but the support from my management. Perhaps I should make the argument that x are my conditions, including training. I know they said like 60 hours of something, but it's really not defined well. Hell, they didn't really ask for certain things other than to put in interest and saying why. I've been looking at other posts with similar job titles. I meet most of the requirements for all various positions (one that I miss is CCRN preferred, and ICU experience preferred perhaps). I'm not sure if I should take it either, for safety of the patients and my license. What are expectations for training I should ask for??? Which classes should I say I want for training and competencies? I know it's still in the works of all the planning... So I think it's good to go in knowing stuff. Is CCT a requirement for level 1? Someone said it was and that's why they think the hospital is setting it up so they can get level 1.

I suppose I can. Colorado.

Excellent questions! I know we are currently using an already established ambulance service. But, with plans for the hospital to take over the contract in the upcoming years. The problem is, I believe that ambulance company has had intubation removed from their scope due to issues in the past. I don't know, but maybe? All excellent questions!!! I'm not sure of what protocols do exist. I'm going to look up in our system for other facilities protocol later.

Can you elaborate on your comment on the critical care resource part? According to management, they only anticipate 1-2 calls in a 24 hour period. I can see why they want to use us for other things to increase productivity. Also, we are the hospital where a lot of victims came after a shooting that STILL has national coverage years later... and so they are hyper aware of staffing issues. They make sure to always always staff the ER (which is awesome). And, it won't have a physician for the CCT as far as I understand. Just the RN, Paramedic, and EMT. But, I will ask for sure. I know we will be developing the protocols, but they do have other facilities that work with the system that have a CCT in place, so they will likely use those as base and make sure they work for our team. Do you think that it's too much of a risk to do all of this as one of the first people in this program? I'm an ER nurse by trade, but definitely on the "greener side" of the experience. Definitely not a new grad anymore though. Someone who already interviewed mentioned that they WOULD NOT do intubations. From what I understand, the job is from one hospital to ours. Hopefully they are already intubated. (I don't know if RT is coming either...) But, from what I understand of what a CCT entails, I would hope that I would be able to intubate en route or at the facility if there is the need (and to be taught to do that, and to keep up competency by intubating in the ER for practice when necessary). Do you think CCTs should have that as a part of their scope? They are having a hard time staffing the night shift position, which is why two of the three people interviewing for the four spots are thinking "we will say no if they don't pay us more" sort of thing. Thanks for the feedback and guidance. Do you know of any good resources in the mean time for me to determine if I should take this job if I get offered it? I have BLS, ABLS, ACLS, PALS, TNCC, ENPC, ATLS, and hopefully CEN in the next two or so months.... and maybe even TCRN (depends what happens, been a busy few weeks, and even busier coming up).

Hi all, I'm interviewing for a Critical Care Transport position that is starting at my facility. Since we are the guinea pigs, we can shape it a lot.... From what I can tell, they're thinking of 12 hour shifts, and when not on a call, we are the critical care resource nurse for the department. They're still trying to work out out scope (from what I can tell, I'll ask more in the interview). Since we are taking on more liability, some of us interviewing believe we should be paid more than our ED counterparts. Thoughts? Do you know of facilities that pay more? Ideas for arguments for an increase in pay? Also, for GROUND ambulance, what typically do you see for scope of practice? Thanks very much!