1. Children’s Transport

2. Give overview of personnel dedicated to transporting critically ill neonates
Describe relationship with our transport system and it’s scope within our region
Describe the referral process from the regional hospital to our larger medical center
Describe process of back transfers

3. Children’s Transport Team
RNs specially trained in both pediatric and neonatal critical care as well as ground/flight transport duties
Must have at least 3 years experience in emergency or critical care nursing
BSN preferred
Achieve certification in specialty within 3 years
BLS, PALS, NRP, EMT
Quarterly education/simulation requirements
Developed dedicated neonatal team in 2016 to assure optimal quality of care for our smallest and medically fragile patients
Our team has since evolved to include pediatric transports under the age of 6
Work in conjunction with our existing transport infrastructure-EastCare
Currently a team of 6 to cover 24/7.
Finding right fit and training is a long process

4. Goal
Provide ICU level care beginning from the time of arrival of team at referring facility throughout the transport process until admission to NICU
Generally considered a MICU level transport-Mobile Intensive Care Unit
Any patient requiring or possibly requiring extensive monitoring or interventions.
Task load may quickly overwhelm a single provider.
Staffed with three or more personnel:
EMT or Paramedic Driver
Paramedic and RN
Alternate: RN and RN
May bring a fellow or neonatal APP if needed

5. EastCare’s Scope 33 Counties in Eastern North Carolina
21 Hospitals – primary
Fire & EMS Services primarily in 33 county area
Additional 15 surrounding counties mutual aide
Patients requiring Critical Care Transport by ground or air
Bases are strategically located in the region
Located to optimize response times
Cover another area when that resource is busy  
Air Response•Attempt to have “1st in” aircraft within 15 minutes
Ground Response•Attempt to have “1st in” truck within 30 minutes
CAMTS accrediting –Comission on Accreditation for Medical Transport Services

6. Service Area
EastCare was the first accredited flight service east of the Mississippi
EastCare has highest call volume per air frame in the world.
EastCare performs about 2,400 flights and about 8,000 ground transports per year.
Established April 1985
Ground services established 1994

7. Response Times

8. Referral Process REFERRING PEDIATRICIAN -OUTREACH CONNECTIONS
-RELATIONSHIP BUILDING
-EDUCATIONAL SUPPORT
EASTCARE
COMMUNICATION
CENTER
ORGANIZES MOST EFFICIENT TX PLAN WITH
TX SUPERVISOR
DISPATCHES
TX TEAM VIA
AIR or GROUND
NEONATAL
ATTENDING PHYSICIAN/
FELLOW
CONSULTS/
ACCEPTS
TRANSFER
ACTS AS RESOURCE FOR REFERRING MD/MEDICAL CONTROL FOR TX TEAM

9. 2018 Neo Transfers Facility Albemarle Vidant Beaufort 8 Camp Lejeune 9
Vidant Beaufort 8
Vidant Chowan 15
Vidant Duplin 13
Vidant Edgecombe 16
Vidant Outer Banks
Vidant Roanoke Chowan 14
Albemarle
Camp Lejeune 9
Carolina East 25
Carteret 11
Halifax 20
Lenoir
Martin 15
Nash 8
Onslow 1
Wayne 34
Wilson 27

10. Back Transfers Discussion with parents begins early in NICU stay
Home hospital level of care often determines ability to transfer back
Facilitated by case manager
EastCare transports back to home hospital
1/3 air
2/3 ground
For neo/peds combined

11. Questions?