East Midlands Neonatal Operational Delivery Network Neonatal Transfers Sophie Stephenson CenTre Transport Educator Care close to home
East Midlands Neonatal Operational Delivery Network Aims of Session • Introducing the CenTre Team • Our Service • Transport equipment overview • Discuss call handling service • Little lives big journeys • Making a referral • Preparing for Transfer Care close to home
East Midlands Neonatal Operational Delivery Network The CenTre Team We provide a 24 hour 7 day a week service 3 teams in daytime 1 team overnight Acute Team- Transport Nurse and Medic/ANNP Emergency Transfers Planned team- Transport Nurse Non Emergency Transfers- Book at least 24 hours in advance Care close to home
East Midlands Neonatal Operational Delivery Network The CenTre Team TRANSPORT CONSULTANTS NURSE CONSULTANT MATRON TEAM LEADERS TRANSPORT EDUCATOR TRANSPORT TEAM= Transport Nurse (Band 6) rotating or permanent Registrar or ANNP EMAS ambulance crew Care close to home
East Midlands Neonatal Operational Delivery Network The CenTre Team One team Two Bases- North Base – Nottingham City Hospital South Base - Leicester Royal Infirmary Dedicated EMAS ambulances and crews Care close to home
East Midlands Neonatal Operational Delivery Network A career in neonatal transport Transport Nurse (Band 6)- rotating or permanent post at LRI or NUH Must have post QIS experience of neonatal intensive care Team Leader/ Educator (Band 7)- Permanent post at LRI or NUH Experienced transport team member Matron (Band 8a)- Cross site LRI and NUH ANNP Care close to home
East Midlands Neonatal Operational Delivery Network Our Area Mansfield Mansfield Care close to home
East Midlands Neonatal Operational Delivery Network Types of transfer Out patients ients appointment ointment Uplif ift For r appoi pointm ntment nt/ / proc ocedur dure in anothe her r hospital pital for higher gher level of care Team takes baby and d return urns baby after r appoi ointm ntment nt Neur uro, Cardi diac, Surgi gical, Medical dical Plann nned d trans nsfer Urgent transf nsfer Shoul uld d be referred d at least 24 hour urs befor ore trans nsfer Needs ds to be moved d when n a team is free Time e Critic tical al Capacit pacity Emergenc ncy transfer Unit it is over capa pacity ity or staffing ng issue ues Team must leave offic ice withi hin one hour Urgent nt transf nsfer May abando ndon n other r trans nsfer to do time critic itical transfer Needs ds to be moved d when n a team is free -Gastrosc schis isis is -Ventila ilated TOF +/- atresia sia Repa patri riation tion -Intest stin inal l perforatio ion -Susp spected duct dependent cardia iac lesio ion NOT resp spondin ing to Returni rning ng to booking ng hospi pital Prostin in Goin ing g close oser r to home -Unstable le resp spir iratory ry or cardio iovasc scula lar r fa failure NOT resp spondin ing to Plann nned d trans nsfer appropria riate management Shoul uld d be referred d 24 hour urs befor ore trans nsfer Care close to home
East Midlands Neonatal Operational Delivery Network Our service CenTre were the busiest neonatal transport team in the UK in 2017/2018 We transfer around 150 babies each month 1700-1800 transfers each year! Incorporating staff members from Leicester, Nottingham and Coventry NICU Care close to home
East Midlands Neonatal Operational Delivery Network Transport equipment New Trolleys coming this year! • New ventilators with VG and HFOV • Better humidified gas supply • End tidal co2 • Transcutaneous co2 • Updated nitric • Updated cooling • Care close to home
East Midlands Neonatal Operational Delivery Network Call handlers Dedicated Line Take referrals for CenTre, IUT, Comet and ECMO Recorded line Call conference facility 03 0300 00 30 300 0 0038 0038 Ca Call han andle dlers ar are non n med edical cal Care close to home
East Midlands Neonatal Operational Delivery Network Little lives big journeys • The Centr ntre e Neona onatal tal Transpor ansport t Char arity ity • Funds our Miles teddy's for patients • Equipment- cooling, harnesses • Staff Training- ARNI, National conference • Mothers day & Christmas gifts Care close to home
East Midlands Neonatal Operational Delivery Network Making a referral • Have e all notes es & char arts ts availa ilable le befor ore you call ll • Are e you the best t person son to make e the call? ll? • Have e you conside nsidered ed the e parents? ents? • Is the e trans ansfer r necessary? cessary? • Is ther ere a bed? • Is s the e baby y well l enough ough? • Is the e baby ready ady for transf ansfer? er?- Fluids ids, , Badger • If you have e booked d an OPA cons nside ider r the e timings ings • Unsur sure if a trans ansfer r is s requir quired? ed? – Call l your r local al NICU CU Consulta sultant nt for advice ice Care close to home
East Midlands Neonatal Operational Delivery Network Care Close to home • We locate te cots s as close se to book oking ing hospital/ pital/ parent ents s home e as possib ible le • Mum still ll an inpatient? ient?- liaise se with th midwif wife • Separ aration tion of siblings ings- both h tran ansfer ers s may not t be possib ible le on same e day • Parents ents travel el and accommo commoda dation tion • I-pads pads for face ce time- Only avail ilable le on NNU • Parents ents travell elling ing in ambulan ulance ce • Belongings longings- we can n only y take e one e small l bag and d 48 hour urs s worth th of EBM Care close to home
East Midlands Neonatal Operational Delivery Network Preparing for transfer • Refer er baby to CenTre when en ready ady for r transf ansfer er • Ensur ure e baby y is fit for r travel, el, let t us know ow if baby y unsta table le • Pr Prepar pare e fluids ids in 50ml ml sy syring nges, , st stop p TPN PN • Discuss cuss feeding eding plan n with th trans anspo port t team • Ensur ure e Badg dger er letter ter written itten, , printed nted and signed ned • Maternal ternal blood od may y be requir quired, d, needs eds label elling ling and d form m complet pleting ing by midwif wife • Two name me bands nds on baby • Belongings longings packed • Ensur ure e that t parent ents s have e seen n baby, , let us know ow if not Care close to home
East Midlands Neonatal Operational Delivery Network Risks of neonatal transfer De Dete terior oration tion on route ute • Toler erates tes journe rney y poor orly ly, ca cardio io-vas ascular cular • unsta table le Veh ehicle e ac acci cidents ents, , brea eakdowns downs, , del elays • Unto towar ard d inci cidents dents – eq equipmen ipment, t, power er, , gas as, • lighting ting, , ver erbal al/phy /physical cal aggres ession ion Inapp ppropri priate te tr tran ansfer er • De Death th in am ambul ulance ance • Vibration tion an and ac acce celer eration/br tion/brak aking ing • Care close to home
East Midlands Neonatal Operational Delivery Network Thank you! Any y Question estions? s? Care close to home
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