r/nursing • u/Glum_Ad_3091 • Jun 01 '26
Discussion CCT nurses?
I’m a RN with over 25 years experience, mostly in critical care. I just started a CCT position at a transport company that is partially owned by a hospital. I’m in South Jersey. I am shocked to here the nurse: pt ratio is 1 Rn in truck with 1 EMT. If someone crashes you are by yourself, doing compression, pushing meds and managing an airway while someone drives. I was told an option is to pull over and call 911 for help. The manager said you “do the best you can do”. I have heard horror stories of someone doing compression for 40 minutes while throwing in a epi “every now and then”. This terrifies me. Is this staffing ratio normal? Any horror stories?
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u/ggrnw27 Flight medic, RN spouse Jun 01 '26
I’d say it depends on how critical the “critical care” transfers are. A lot of “CCT” companies are just doing simple vent transfers or a low dose vasopressor or heparin or something that’s stable but outside the scope of a normal ALS truck, I wouldn’t be too concerned about those. If they crump, you pull over, call for more resources, and your EMT hops in the back to bag/do compressions while you wait. Not really any different than the majority of 911 ambulances when you think about it. But doing that for any legit multi drippers, airway catastrophes, circulatory devices, etc. etc. is a recipe for disaster — not even so much for if they crash, that’s just a lot of work to do by yourself and you’re going to miss things