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UWHC,

Policies,Clinical,UWHC Clinical,Department Specific,Emergency Department

Critical Care Transport RN and RT Assistance in the Emergency Department (ED) (1.39)

Critical Care Transport RN and RT Assistance in the Emergency Department (ED) (1.39) - Policies, Clinical, UWHC Clinical, Department Specific, Emergency Department

1.39





Effective Date:
June 10, 2015

 Administrative Manual
 Nursing Manual
 Other Critical Care Transport and
ED Manual

Policy #:
1.39

 Original
Revision


Page 1
of 2

Title:

Critical Care Transport RN and RT
Assistance in the Emergency
Department (ED)



I. PURPOSE: To provide clinical and operational support to patients in the Emergency
Department (ED) when assistance is needed. The guidelines below have been reviewed and
agreed upon collaboratively between the Emergency Department and Critical Care Transport
Managers and staff and the Emergency Services Director and have been approved by senior
leadership.

II. PROCESS:
A. All shifts
1. Following the briefings and after immediate tasks are completed, the CCT crew
members will report to the ED and check-in with the ED Care Team Leader
(CTL).
a. Additionally, the ED CTL/ Charge Nurse will contact the dispatcher in
Critical Care Transport as needed to request immediate assistance.
b. The dispatcher will notify the CCT RN and/or respiratory therapist (RT)
that assistance is needed in the ED and will communicate an ETA or an
availability status to the ED CTL via Pandion or by phone.
2. Upon arrival to the ED, the CCT crew member(s) will report directly to the ED
CTL for first assignment.
a. Subsequent tasks will be self-driven and include the duties outlined
below.
b. Unless called for transport, the CCT crew member(s) will check-out with
the ED CTL prior to leaving the department.
c. When a transport request is received, the CCT responsible team (Med
Flight/ CHETA) will leave the ED without checking out with the ED CTL.
i. The ED CTL is on the transport request paging list.
d. The CCT crew member(s) not directly involved with the transport, and not
needed for other pending requests, will return to the ED, check-in with the
ED CTL and resume duties as needed.

B. If transport is suspended due to maintenance or weather, the CCT crew member(s)
will report to the ED CTL following briefings. If not immediately needed for
assistance, the CCT crew members may leave in order to complete clinical time,
education or project time.
1. The ED CTL/Charge Nurse will contact the dispatcher in Critical Care Transport
as needed to request immediate help.
2. The dispatcher will notify the CCT RN and/or respiratory therapist (RT) that
assistance is needed in the ED and will communicate an ETA or an availability
status to the ED CTL via Pandion or by phone.












Effective Date:
June 10, 2015

 Administrative Manual
 Nursing Manual
 Other Critical Care Transport and
ED Manual

Policy #:
1.39

 Original
Revision


Page 2
of 2

Title:

Critical Care Transport RN and RT
Assistance in the Emergency
Department (ED)



DUTIES INCLUDE:

ξ Room a patient- assist to get in gown, side rails appropriately positioned, call light within
reach, vital signs completed and documented, with monitor attached per condition of
patient (the vital signs completion will be on the patients not previously triaged) MF/
CHETA RN, all ages
ξ Completion and documentation of basic screening, basic assessment, pain assessment.
MF RN, adult patients
ξ IV insertions and lab work. Document in “Notes” section of Health Link and/or LDA. MF/
CHETA RN only, all ages
ξ Round in the waiting room and FCA. MF/ CHETA RN and RT
-Comfort measures- MF/ CHETA RN and RT
-Vital signs- MF/ CHETA RN
ξ Answer call lights and round on patients. MF/ CHETA RN and RT
ξ Relieving ED staff for lunch/ dinner breaks (duties as already included in this table).
MF/ CHETA RN
ξ Provide RN assistance with critical patients.
-All ages- MF RN, CHETA RT (assisting ED RT)
-Pediatric patients- CHETA RN
ξ Perform circulating RN role for traumas. MF RN
ξ Assist ED RT in traumas. CHETA RT
ξ Provide ‘sitter’ assistance for behavioral patients. MF/ CHETA RN and RT
ξ Administration of medications as needed, ECG’s.
-All ages- MF RN
-Pediatric patients- CHETA RN
ξ If the CCT crew is not in flight status due to maintenance or weather related concerns,
duties may be expanded to include the following:
-Transporting patients to inpatient units RN only for telemetry, IMC or ICU
-Transporting patients to radiology testing (CT, MRI or ultrasound for example)


APPROVAL:



_______________________________ ______________________

Manager, Critical Care Transport Date




_______________________________ _______________________






Effective Date:
June 10, 2015

 Administrative Manual
 Nursing Manual
 Other Critical Care Transport and
ED Manual

Policy #:
1.39

 Original
Revision


Page 3
of 2

Title:

Critical Care Transport RN and RT
Assistance in the Emergency
Department (ED)


Director, Emergency Services Date