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Critical Care Transport 342-1107

KCEAA currently operates a CCT Program staffed by a full time Critical Care Registered Nurse and Critical Care Paramedic.

Our patient population includes the critically ill and injured.  Our goal is to provide the advanced level of care necessary and to improve patient outcomes while transferring to the tertiary care facility.

The specialty team has received specialized training in critical care transports. The Paramedic and Nurse are also required to attend quarterly skills reviews and updates as well as QA/chart audits to ensure the most advanced medical care is offered to each and every patient.

Registered Nurses are CCRN, CEN, or CFRN certified and are selected by experience (minimum of 3 years in a critical care environment). They must maintain current certifications in ACC/ITLS or PHTLS or TNCC/PEPP/NRP and CPR.  RN’s are also required to obtain Paramedic certification within one year of hire.    Paramedics are selected by experience (minimum of 3 years in the 911 system) and receive additional training in specialty care.   Each must maintain ACLS, BTLS/PHTLS, PALS, NRP, CPR certifications.

We can offer:

  • Continuous nursing care from bedside to bedside.
  • We have the latest in critical care equipment, including ventilator, CCT monitor, trans-venous pacer, IV pumps, medications, surgical airways, chest tubes, 12 lead EKG, Doppler, and invasive monitoring capability among others.
  • We have the latest in critical care medications available in the treatment of the acutely ill or injured. 
  • These include vasoactive drugs, sedatives, paralytics, antibiotics, emergency medications, blood thinners, pain medications, antipyretics, respiratory medications, steroids, diuretics, volume expanders, osmotic diuretics, and many more.

When should you call CCT?

  • Does your patient have critical drips (Levophed, dopamine, nitroglycerin) that need to be titrated?
  • Is your patient receiving multiple units of blood, FFP, or other products?
  • Is your patient in need of any specialized procedures or have they had any specialized procedures that require close observation? 
  • Is there potential for complicated airway problems?
  • Is your patient an MI with continued pain or other complications? 
  • Does your patient have extensive neurological problems or equipment that needs to be monitored?
  • Does your patient have an arterial line or a Swan-Ganz catheter?
  • Does your patient have multi-system trauma requiring a trauma center?

What are our capabilities?

State of the Art Equipment

  • Zoll CCT monitor   4 and 12-lead ECG with fax transmission, NIBP, invasive monitoring for 2 pressure lines, pulse oximetry, continuous temp. monitor, EtCO2 monitoring, as well as bi-phasic defibrillation and transcutaneous pacing ability.
  • Medtronic Pacemaker   Transvenous pacing.
  • 2 IVAC Mini-Med Infusion Pumps  Capable of 3 IV infusions each.
  • I-Ventilator   AC, Control, SIMV, CPAP and pressure control modes with PS and PEEP options, PIP monitoring.
  • Doppler Stethoscope   Allows for vascular and fetal heart tone assessments.
  • Cellular Phones   With fax capability.
  • VHF and UHF Radios   Allows around the clock online medical direction.

Expanded Scope of Practice

  • Extensive written guidelines for treatments
  • Cook catheter chest tube insertion
  • Surgical cricothyrotomy
  • Rapid sequence induction
  • Arterial line insertion
  • Laryngeal mask airways/Perilaryngeal airways
  • The ability to monitor and administer a wide variety of critical care medications and vasoactive drugs.
  • Nursing care from bedside to bedside

Definitions:

CCT:   Critical care transport.
EtCO2:   End tidal carbon dioxide (capnography).
AC:  Assist control.  A ventilator setting
SIMV:  Synchronous intermittent mandatory ventilation.  A ventilator setting.
CPAP:  Continuous positive airway pressure.  A ventilator setting.
PEEP:  Positive end expiratory pressure.  A ventilator setting.
PIP:  Peak inspiratory pressure.  A respiratory measurement.
ACLS:  Advanced cardiac life support.
PALS:   Pediatric advanced life support.
BTLS:  Basic trauma life support.
PHTLS:  Pre-hospital trauma life support.
NRP:  Neonatal resuscitation program.
CPR:  Cardio-pulmonary resuscitation.

 

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MEDICAL TRANSPORT 304-342-1107

Kanawha County Emergency Ambulance Authority

601 Brooks Street, Charleston   WV   25301

304.345.2312              800.560.2055

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