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backgrounds offers the potential for those members to assist in and complement the training and care delivery processes Regardless of the medical background of the transport participants, pretransport education and experience in the mobile environment is imperative Transport team capabilities and types of personnel vary significantly, depending on the transport system Pediatric CCT teams, often the optimal interfacility transport configuration for children, usually have several specific types of providers At the center of most pediatric CCT teams are highly trained pediatric CCT nurses These nurses usually have significant critical care and/or emergency medicine experience before becoming members of the transport service Their technical and cognitive skills are enhanced by additional formal and informal specialized training and experience Such training may allow them to be classified or credentialed as practitioners with advanced skill certification in certain jurisdictions Depending on the sophistication of the transport system, training opportunities, skills, and medical licensure issues, transport nurses often provide advanced management for these children This includes diagnostic and assessment skills, as well as procedural interventions (e.g., advanced airway management, central venous access, thoracentesis, etc.) In addition to their cognitive and technical skills, transport nurses must serve as experts in the environment in which they practice The transport nurse should be intimately aware of all operating systems within the transport environment, as well as safety procedures for the patient and the transport team The medical skills of pediatric transport nurses can often be complemented by the addition of a physician (attending, fellow, or senior resident with prior critical care exposure and experience), advanced practice providers (NP, PA), respiratory therapist, paramedic, or another nurse The most common model for neonatal transport teams is one registered nurse and one respiratory therapist Karlsen et al found 26 different team configurations in a survey of 335 neonatal transport programs The second most common model is two nurses Most experts recommend at least two clinical members on each team, but some one-person teams exist Other teams routinely utilize three members Team compositions vary greatly in different systems, and no single team configuration is optimal for all situations The ideal team composition is one that can address the acute and projected needs of the patient, but also has the flexibility to quickly be revised when necessary There is also potential educational value (as compared with service use) of resident trainees in the transport environment Many pediatric programs include residents and fellows as part of the patient care team; in other cases, they

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