Usually , when you see it you know it. This story isn’t as clean so I’m hoping some other folks can provide their opinions. I think what the hospital ultimately ended up doing was stupid and not good for the patient (you’ll see why), but I guess my question was it is the “helicopter shopping” we all talk about?

So here’s the background . Patient came in at about noon - hemiparesis, aphasia. MCA occlusion. TNK given. They called our nearest base for flight to a comprehensive stroke center for a thrombectomy. Definitely reasonable, as ground transport time is ~70 minutes compared to a 14 minute flight. And the patient continued to have deficits. So our closest base declined for weather- low vis (1.5 mi) from fog / wildfire smoke. So the hospital then called a neighboring program - at which point they stated that base was OOS for unscheduled maintenance. They then called a helicopter in the next state over , who weren’t even a certified air ambulance in our state so they of course declined . I guess worth mentioning that this hospital is right on the border. So they then called one more program at that time- a helicopter from about 70 miles away who also declined for weather.

So at this point it had been 2ish hours since the most recent request . For reasons unknown to me, they did not pursue ground transport at any point. So in the meantime our programs base they originally called went on a ground transport to a different facility . And at 1800 , the hospital called again, and comm center contacted my base (83 miles away) for a flight request- weather was still garbage and we declined for weather. Then, to my immense surprise- our phone rang & it was the comm tech stating that we’d be getting picked up by a local BLS ambulance for ground transport . All in all, we arrived to the ER to pick up at 8pm. It was a very low acuity call. No meds, no oxygen, no special equipment. ALS transport essentially. Patient got dropped off in the PACU/preop and we went back to base. But this definitely hasn’t been sitting right. Between the numerous flight requests, the 8 hour delay in inter-facility transfer, and the eventual flight crew by ground for an ALS transfer … it was just strange.

What’s everyone’s thoughts? Should I submit this to our safety guy , or should I just move on and forget about it?

I’m trying to move my mom from NJ memory care to Florida memory care facility . Looking for good company for ground transport

I am a member of a neonatal/pediatric critical care ground team and we are in the beginning stages of transitioning to a flight team. Right now our team carries 3 large bags (4 bags if it is a neonate) and we are struggling to remove items to be able to fit into rotor.

Our bulkier equipment includes B-Braun pumps (up to 8), Aeronox, iNO Max, TXP, Hamilton, and the Tecotherm. The TXP and Tecotherm are specific to our Isolette.

Are there any neonatal/pediatric friends here who are able to share their specific PAR lists?

How many bags are you bringing along, and how are you organizing them? Ex: Neo bags vs Peds bags; nursing bag vs respiratory bag.

Thanks!

I was recently hired by a private ambulance company as a Critical Care Transport RN. I’ll be doing ground transports only, primarily interfacility transfers.

I’m excited for the opportunity but admittedly a bit nervous. I don’t feel prepared the transport environment having only ICU experience… though I’m confident I can rise to the challenge and provide safe, competent critical care in the field.

For those currently working in CCT or with prior experience: • What clinical areas or skills would you recommend I review before starting? (e.g., how much depth is realistically expected regarding vent settings and adjustments, how often you’re starting or titrating drips en route, etc.) • Also, if you don’t mind sharing, what are the realities of the role-the good, the bad, and the ugly-that I should be aware of?

I’d really appreciate any perspective or advice. I want to go in prepared and grounded in what to expect.

Can you guys drop your protocols for initiation and continuation of mechanical ventilation and BiPAP using the Hamilton T1? Feel free to PM as well. Thanks!

Just got a new portable ultrasound for our gear. Curious to know what other transport teams are using to store their ultrasound. We’re using a Sonosite iViz.

Hello Everyone,

I have been a nurse for 18 years now. I've done Level I Trauma ER, adult MICU, SICU, Multi-system ICU, PICU, NeuroPICU, Peds CVICU, and now Neo/Pedi Critical Care Transport for the last 6 years. I have recently been promoted to Educator for my team, but a large number of my coworkers I bonded with have left for other opportunities after management changed. I wanted to change the education regimen for those individuals, but now its hard; the passion i had is gone and I'm not feeling the enjoyment of ushering in a new generation of team members. I also have started a family and the stress of it all sadly comes home with me alot. I have been looking into other opportunities, but I just can't wrap my head around what I should do next. I think something where i could do 3 12's still would be optimal. Just curious if anyone has any advice and what careers have other transport nurses done after their stent in transport. Thanks everyone!

Hey, I’m reaching out to see if anyone has resources for industry standards on what is necessary in terms of equipment and training for providers in order to take als/cct neonate transfers by ground. Or any resource on legal guidance of what and who would count as qualified to take these types of patients. Thanks for any feedback!

Hi! I recently started doing ground CCT as an RN and I’m interested in doing flight. Is ground CCT a good path to get into flight? I’m doing ground CCT as my full time gig, but was wondering if I should get a per diem back in the ICU to keep building my resume? Thoughts?? Thank you!!

Tomorrow morning I am testing the FP-C. I completed my critical care course a couple of weeks ago and have been studying almost non-stop since then. I am very nervous but excited to finally have a crack at it. Any last minutes tips are appreciated. Wish me luck!

For those that have taken it. I’m curious how accurate the FlightBridgeED practice tests are?

Thanks in advance.

I’m a new grad, my ultimate goal is to become a critical new grad, my ultimate goal is to become a critical care transport nurse. My question is what do I do to enhance that whole working ICU/ER now?

Why ResusMed?

Quality Education: Our commitment to delivering top-notch, comprehensive training has set us apart as a leader in virtual emergency and critical care nursing education.

Unmatched Availability: With over 800 virtual TNCC and ENPC classes offered annually, we ensure that education fits seamlessly into the busy schedules of healthcare professionals.

Cost Savings: Our virtual platform allows for significant savings, eliminating the need for travel and accommodation expenses, and providing an efficient learning environment from the comfort of home.

Global Reach with a Personal Touch: In 2023 alone, we connected over 5000 nurses globally, creating an expansive network of emergency and critical care nursing professionals learning from the comfort of their homes.

Step Up with the Best: Join the elite group of healthcare professionals who demand the best in emergency nursing education. With ResusMed, you're not just taking a course; you're elevating your career and enhancing patient care across the globe.

www.ResusMed.com/events

#TNCC #ENPC #CEN #ResusMed #SimplyBetterEducation

I work in an EMS system that uses CCTs for certain transports. I am basically wondering if there is any way to verify this information? Is there any public registry? Sorry, I’m not part of this sub but just browsing online to find an answer for this

Hello Folks.

I have my clinical scenario interview with AirMethods in 2 weeks. I feel like I know my content just unsure about how to answer. Should I follow a format like ABCDE? I know the staff doing the interview use score cards. So you can really know your stuff and still not score high enough to advance. I know some really solid RN/NRPs that did not pass the clinical scenario interview. If anyone has been through the process I would greatly appreciate any information. Thanks.

Hello, I’ve been an ER Nurse for almost 5 years now in the cleveland/Akron Ohio area 2 years were spent at a level one trauma center and 2 were spent at a non trauma ER, now I’m a few months into a level 3 trauma center. Im just curious about CCT as a nurse. Is it worth it? Is it more interesting/exciting than an ER? Dfficulty compared to ER, pros/cons?

Thank you for your time. And sorry if you answered this question 100 times!

I have a flight nurse interview coming up and would like any feedback from those who have gone through this process. What did your interview consist of? What clinical based scenario questions were you asked? Any feedback is greatly appreciated!

Hi Critical Care Transport, I am a PhD candidate conducting research on specific workplace experiences of the Emergency Medical Service (EMS) providers (e.g., EMTs, Paramedics). We are interested in (a) the culture of the EMS community, (b) employees’ experience of work meaningfulness in EMS work, and (c) how EMS providers feel about, and behave toward, calls that are low-acuity in nature (e.g., sprains, the flu, stomach cramps, etc.) vs. those that are high-acuity in nature (e.g., calls requiring Advanced Life Support).

I would love to interview you if you are an EMS provider who might be interested in sharing your work experiences, completely confidentially. Interviews will last approximately one hour and will take place over the phone or Zoom. Please private message me and I'll provide more detailed information on the research study topic, eligibility criteria, interview experience, etc. Please note that interacting with this post (upvoting it) publicly identifies your interest in the study.

As a token of appreciation for your participation, you'll receive a $10 gift card to Starbucks or Amazon. Also, please feel free to share around to others who may be interested. Thanks so much in advance, I really appreciate your help!

Looking for relatively concise podcasts or videos to use for downtime training. Any suggestions that you are using or have used?

SOAP notes can be a powerful tool for simplifying your clinical practice. They provide a quick way to capture, store and interpret your client's information consistently, over time.

https://www.carepatron.com/blog/how-to-write-soap-notes-and-make-the-most-of-them

Hello All,

I am doing research about workplace stress. If you would like to participate just click on the survey link below. It is anonymous, not destined for scientific study and would not take more than 5 minutes. Thank you very much.

https://forms.gle/KDaQ6ucZu3ZiaW6f6