Roles and Responsibilities during CCT

[emtbasic13]

I was trying to research the roles and responsibilities of the differant crew members during a critical care transport.

Like what is the nurse in charge of ?

What is the medic in charge of when working with the nurse and when working without a nurse ?

Where I live each of our hospitals runs its own transport team. Transporting BLS, ALS, and CCT.

An I was really interested in getting into this after medic school and a few years of 911 experiance as a medic. But really couldn't find out any information on roles during transport.

Also what are your views on 911 vs CCT. Which due you like better ?

[paramedicmike]

The last job I had where I worked with a nurse we were both responsible for the same information and material. I was supposed to be able to do my nurse partner's job and vice versa.

Coincidentally, we both spell checked each other's charts, too.

I think you'll find roles vary depending on the organization in question.

There are benefits to working both 911 and critical care. They each offer their own exposures, experiences and learning opportunities.

[Arctickat]

I do both, and worked in a clinical setting. We complimented one another well because of our different scopes of practice. Between the two of us were were actually able to perform quite significant treatments.

[chbare]

Depends on the state and company. The onus will be on you to research the programme in question.

[Bernhard]

Oh, that's simple here: no nurses on patient transport by law (rare exceptions in flight intensive care transport, where they are allowed - but most have an additional medic education, since even the interfacility transport helicopters are part of the primary HEMS system and there a medic license is required).

[krumel]

Worked in MICU (Mobile Intensive care unit) transport part time last year.

We basically had a three/four person team(sometimes a second driver for long range, that doesn't matter as the drivers change amongst themselfs): Driver, Medic 1, Medic 2 and sometimes a Trainee.

Role of Medic 1 is always Airway, Ventilation/Respiratory& Documentation. He/She controls the ventilator, the capnography (which is integrated in the Ventilator), tube, suction, calculates oxygen-supplys,etc. and does all documentation on the notebook.

Role of Medic 2 is Circulatory & Medication. He/she controls the multiparameter monitor, is responsible for all syringe drivers, all infusion pumps, the positioning of the patient, is giving drugs, etc.

If the patient is highly critical you get a Medic 3 as assistant, if you have certain things attached (ECMO, IABP) there is a medic 3 (usually a cardio-tech) who does that.

"Medic" does not mean that it is always a para...We had Para/Para Teams, Para/ICU Nurse(who always was double qualification with Para) Teams, or Para/Doctor teams...Always depending on patient condition.