University Hospitals Case Medical Center Critical Care Transport (CCT) began in 1978 as a hospital-based interfacility ground transport program. Comprised of a Registered Nurse and two specially trained paramedics, CCT provides transport for neonates, pediatrics, high-risk obstetrical patients and adults requiring critical care.
Approximately 60 percent of our patient transport population is pediatric and neonatal with the other 40 percent being high-risk OB and adult patients. Being the specialty team for University Hospitals Case Medical Center and University Hospitals Rainbow Babies & Children's Hospital for neonatal, ventricular assist devices, and balloon pumps, CCT can transport by air if necessary. Patients with airway difficulties/respiratory distress, ventilator patients, those on multiple medications requiring titration, patients in preterm labor, Intra-Aortic Balloon Pump, and ECMO patients comprise the group typically transported by CCT.
Because CCT cares for all patient populations it makes them unique in Northeast Ohio. The age range from the 24-week gestational age premature baby to the 100 year old with respiratory failure defines this uniqueness.
Most of the nurses on the team have at least one instructorship in PALS or ACLS. Many are EMTs or Paramedics. Among the certifications required are CPR, ACLS, PALS, NRP, and BTLS (adult and peds). While the team nurses have a great deal of responsibility, they have autonomy because they function out of the stable hospital environment. Standing Protocols allow for a great deal of independent nursing inventions including intubations.
Highly skilled paramedics on the team are required to hold all of the above listed certifications and train for 3 months in PICU, NICU, and pediatric respiratory therapy to learn the particulars of caring for pediatric/neonatal patients. This makes them well versed in the use of vasoactive medications, ventilatory management, and advanced airway skills.
To request a transfer or for more information, please contact the Transfer Referral and Communications Center at 216-844-1111 or 800-421-9199.