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Availability of the referring personnel at the time of transport can also make the process more efficient for all concerned Telephone and fax numbers and the addresses of the referring and primary physicians should be available to the transport team so follow-up information may be easily conveyed Likewise, the referring and primary physicians should be given contact numbers for the transport team and its medical and administrative directors Finally, the family should receive clear preprinted directions to the receiving facility Information about the facility, parking, city, local transit, and the visiting policies of the receiving unit should also be provided Figure 11.8 demonstrates the “Welcome Pamphlet” given to families of transport patients of the Children’s Hospital of Philadelphia; it has much of this information, along with other frequently asked questions Notably, enabling a family member to accompany the transport team has been shown to be important to both the patient and family, while not diminishing the delivered quality of care Recognition of the family’s role in the overall care of the child (“Family-Centered Care”) will pay dividends to the team, patient, and family Patient and Team Safety Safety is a primary consideration for the transport team The service and team should everything possible to provide for the safety of all involved in the transport process Awareness of risks and safety issues is important This includes more than providing pediatric medical expertise for the patient during the transport It starts with careful vehicle selection, assessment of proper driver or pilot capabilities, and ongoing certification and licensure requirements The transport medical and program director are responsible for continually assessing the capabilities of the particular modes of transport and competencies of the personnel involved with those functions This goes beyond certification and licensure issues Active inspections and evaluations, as well as continuous quality improvement (CQI) issues, are important Unsafe vehicles or personnel must be attended to or removed from service Air Transport and Safety The gradual introduction of air medical transport into civilian prehospital care began in the 1960s During that time, a National Academy of Sciences Research Council document recommended the initiation of pilot programs to evaluate ground and air ambulance services in sparsely populated areas Since then, air medical transport has developed into a common part of many EMS systems
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