nitric oxide transports help

[Lance Peeples]

Scott, I'm on a neonate/peds specialty team MD/RN/EMT-P configuration.  We add an RT and drop the EMT-P (if necessary for weight) for NO transports.  I think our team members would generally frown upon attempting to handle NO transports without RT.  I would concur with your comments that NO is a fairly hazardous therapy especially for adult teams without significant experience with neonatal pulmonary hypertension.
 
Lance C. Peeples, MS, EMT-P

--- On Thu, 1/29/09, Pedsrusscott at cs.com <Pedsrusscott at cs.com> wrote:

From: Pedsrusscott at cs.com <Pedsrusscott at cs.com>
Subject: nitric oxide transports help
To: flightmed at flightweb.com
Date: Thursday, January 29, 2009, 3:05 PM

Greetings - Hoping the group can help with the following situation - our flight
crew is an RN/ER resident crew configuration - For the past several years, we
have been transporting neonates on nitric by air & ground with our RN/ER MD
crew, but happily have had a neonatal RT accompany us - However, we have
recently been told that the RT department is downsizing & they will no
longer be able to routinely accompany us on these NO transports - I am hoping,
especially from our transport RT colleagues, for input on this situation - Are
there standards out there that support RT's going on NO transports? Any
programs who have protocols for having RT's accompany on NO transports? Our
flight RN's feel that these transports, in our instance, are low volume, but
very high risk (2-3/month on average) & we are very much in need of
"backup info/protocols/standards" to help us maintain what we believe
to be standard of care for these patients
Any help welcomed
Scott DeBoer RN,MSN,CFRN
Flight Nurse: UCAN
Founder: Peds-R-Us
scott at peds-r-us.com
866-449-7337 fax
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