Neonatal Transfers Sophie Stephenson CenTre Transport Educator - - PowerPoint PPT Presentation

East Midlands Neonatal Operational Delivery Network Care close to home

Neonatal Transfers

Sophie Stephenson CenTre Transport Educator

East Midlands Neonatal Operational Delivery Network Care close to home

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

East Midlands Neonatal Operational Delivery Network Care close to home

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

East Midlands Neonatal Operational Delivery Network Care close to home

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

East Midlands Neonatal Operational Delivery Network Care close to home

The CenTre Team

One team Two Bases-

North Base – Nottingham City Hospital South Base - Leicester Royal Infirmary

Dedicated EMAS ambulances and crews

East Midlands Neonatal Operational Delivery Network Care close to home

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

East Midlands Neonatal Operational Delivery Network Care close to home

Our Area

Mansfield Mansfield

East Midlands Neonatal Operational Delivery Network Care close to home

Types of transfer

Uplif ift

for higher gher level of care Neur uro, Cardi diac, Surgi gical, Medical dical Urgent transf nsfer Needs ds to be moved d when n a team is free

Capacit pacity

Unit it is over capa pacity ity or staffing ng issue ues Urgent nt transf nsfer Needs ds to be moved d when n a team is free

Repa patri riation tion

Returni rning ng to booking ng hospi pital Goin ing g close

• ser

r to home Plann nned d trans nsfer Shoul uld d be referred d 24 hour urs befor

• re trans

nsfer

Out patients ients appointment

• intment

For r appoi pointm ntment nt/ / proc

• cedur

dure in anothe her r hospital pital Team takes baby and d return urns baby after r appoi

• intm

ntment nt Plann nned d trans nsfer Shoul uld d be referred d at least 24 hour urs befor

• re trans

nsfer

Time e Critic tical al

Emergenc ncy transfer Team must leave offic ice withi hin one hour May abando ndon n other r trans nsfer to do time critic itical transfer

• Gastrosc

schis isis is

• Ventila

ilated TOF +/- atresia sia

• Intest

stin inal l perforatio ion

• Susp

spected duct dependent cardia iac lesio ion NOT resp spondin ing to Prostin in

• Unstable

le resp spir iratory ry or cardio iovasc scula lar r fa failure NOT resp spondin ing to appropria riate management

East Midlands Neonatal Operational Delivery Network Care close to home

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

East Midlands Neonatal Operational Delivery Network Care close to home

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

East Midlands Neonatal Operational Delivery Network Care close to home

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

East Midlands Neonatal Operational Delivery Network Care close to home

Little lives big journeys

• The Centr

ntre e Neona

• natal

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

East Midlands Neonatal Operational Delivery Network Care close to home

Making a referral

• Have

e all notes es & char arts ts availa ilable le befor

• re 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

• ugh?
• 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

East Midlands Neonatal Operational Delivery Network Care close to home

Care Close to home

• We locate

te cots s as close se to book

• king

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

• n 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

East Midlands Neonatal Operational Delivery Network Care close to home

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

• w 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

• d 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

• w if not

East Midlands Neonatal Operational Delivery Network Care close to home

Risks of neonatal transfer

• De

Dete terior

• ration

tion on route ute

• Toler

erates tes journe rney y poor

• rly

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

East Midlands Neonatal Operational Delivery Network Care close to home

Thank you!

Any y Question estions? s?