CRITERIA FOR ACCEPTANCE TO TRANSFER BY THE NNTP

 

At present there is one team on-call for NNTP transport at any given time. To ensure that the NNTP is available to those who would best benefit from the service, certain criteria for acceptance to transfer apply.

  1. Infants must be 0 days to 6 weeks (corrected gestational age) AND weigh less than 5.5 kg
  2. Infants for NNTP transports must require INTENSIVE/HDU care management by a Neonatal Registrar/Consultant and Neonatal Intensive Care Nurse. 
    (Please see BAPM Categories of care for definitions of ICU/HDU care)
  3. Repatriation of patients who still require INTENSIVE care is generally accepted - subject to consultant decision. The NNTP is unable to conduct routine back transfers (repatriations) or routine transfers for investigative procedures.
  4. The NNTP is not routinely available for repatriations of patients who require palliative care. Exceptions are
    subject to direct Consultant to Consultant referral.
  5. The NNTP cannot be booked in advance but it is reasonable to inform the NNTP team of a possible upcoming transport ahead of bed confirmation. However, as another more urgent transport may occur in the interim, the NNTP team will be unable to guarantee its availability until the receiving hospital bed has been confirmed.

 

HOW TO INITIATE A NNTP TRANSPORT

 

TRANSPORTS TO ONE OF NATION’S LEVEL 3 NICUS:

The doctor in the referring hospital can call the NNTP directly on 0818300188 stating if there is a preferred hospital to which the infant is to be admitted. If the bed is not already sourced, the NNTP team will facilitate/assist in locating one. If there is no preferred hospital, a bed should be sought in the hospital on NNTP call that week in the first instance and if not available, a bed should be sought from the hospital next on call for NNTP Transports.
See NICU bed-state


TRANSPORTS TO ONE OF THE DUBLIN PICUS (OLCH OR CUH):

The referring hospital doctor must source a bed with the receiving hospital prior to referral to NNTP via the
standard pathways (1890 213 213 / www.PICU.ie)

 

TIME CRITICAL, UNSTABLE PATIENTS:

Time critical patients are typically:

 

  • Birth or imminent delivery of a patient < 27 weeks gestation in non-tertiary unit
  • Acidotic/unstable infants with suspected duct dependent congenital heart lesion
  • Infants requiring therapeutic cooling
  • Infants requiring urgent, time critical surgery/surgical care in paediatric tertiary centre (e.g. patients with gastroschisis, tracheo-oesophageal fistula on ventilator, suspected volvulus or diaphragmatic hernia)
  • Other critically ill/unstable infants requiring urgent tertiary ICU care

 

In these cases, please call the NNTP as soon as possible to request transfer. The bed in the receiving NICU/PICU should be requested, however this does not necessarily have to be confirmed prior to NNTP team mobilisation but MUST be finalised prior to leaving the referring hospital with the patient.

Note: it may be appropriate to transport time critical, deteriorating patient using local resources - this is at the discretion of the referring team/consultant. Factors like NNTP availability, severity of illness, distance, local human resources may play role. The NNTP team can assist with the decision.





Arranging NNTP Transport  >  Criteria For Acceptance




© NATIONAL NEONATAL TRANSPORT PROGRAMME 2017