1. Maryland Regional Neonatal Transport Program Ground versus Air Transport Maryland Patient Safety Center Perinatal/Neonatal Reunion December 3, 2013 Webra Price-Douglas, PhD, CRNP Coordinator I have no financial conflict of interest

2. Maryland Regional Neonatal Transport Program Jenny Yu, MD Co- Director Johns Hopkins Children’s Center Sara Mola, MD Co-Director University of Maryland Children’s Hospital Webra Price-Douglas, PhD, CRNP Coordinator

3. Transport is not a benign event Patients Transport team

8. MSP-Daulphin

9. MSP- AW139

10. Maryland Regional Neonatal Transport Program

12. Maryland Regional Neonatal Transport Program Air Transports FY13 32 air transports ( 4 one way- air & ground) 1-5 air transports per month- median-2.5 60% score of 4 Median gestational age= 33weeks (23.2-40.6) Median weight=1480grams (495-4483) Most common diagnoses: –Prematurity and related issues (RDS,sepsis, GI obstruction…) –HIE – 6 hour window Outcome- home(15) died prior to transport(2), death (4), Back (MWPH/G)/closer to home (10) still in hospital at time of report (1) Median Length of stay=15 days (2-159)

13. Telephone Consult with Neonatologists Once the decision to transport is made all communication must be conducted via a communication center on a recorded line.

14. Education

15. Thank you for your attention. Questions???

16. Used with permission, Karlsen, 2001