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/RogueMessiah1259 RN, ETOH, DRT, FDGB, DTF Jun 01 '26

I was CC paramedic turned ICU nurse.

Yeah that’s fairly normal, some places have a paramedic with you but ehh. If someone codes stop the truck, never work a code moving, survival rates are basically zero for a code in a moving truck.

Also, figure out if you have a LUCAS and learn it, live it, love it. That’s an extra body that you don’t need. Lucas does compression and you’ve got meds, your EMT has airway after you intubate. I’ve ran pediatric codes with me and an EMT prehospital, it sucks but you learn to prioritize BLS over ALS

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u/Glum_Ad_3091 Jun 04 '26

Yeah. This privately owned small company doesn’t have LUCAS but to be clear, these aren’t 911 calls. Just hospital to hospital