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NeonatologyNeonatology

Section I. Basic Management > 

Chapter 11. Infant Transport

Topics Discussed: patient transport; pediatric critical care patient transport.
Excerpt:"The goal of an infant transport is to provide early stabilization and initiation of advanced care at a referring institution with continuation of critical care therapies and monitoring during transport to ensure safety and a positive neonatal outcome. Transport of infants who need a higher level of care from a referring hospital to a level III neonatal intensive care unit (NICU) enables each patient to benefit from the regionalization and specialization of critical care personnel, capabilities, and services. A great deal of planning must take place for a specialized transport team to function effectively, and clear guidelines must be established regarding personnel, procedures, and equipment needed. A preplanned transport algorithm is essential to organize a smooth transition of care. Ideally, the mother would be transferred to the level III center before delivery of a high-risk infant, but this is not always possible.Transport team
  1. Personnel. The team may include physicians, nurses, neonatal nurse practitioners or advanced practice nurses, respiratory therapists, and perhaps emergency medical technicians. Limited research supports similar outcomes from transport teams with and without the direct presence of a transport physician. Team members should have received special training in the care of sick infants and have the ability to contact the attending neonatologist at any time during transport. Appropriate insurance coverage is necessary for..."
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