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Neonatal transport services, a cross-sectional study.

Yasser Soliman1, Renee Paul2, Kim Pearson2

  • 1Division of Neonatology, Hospital for Sick Children, University of Toronto, Toronto, Canada.

The Journal of Maternal-Fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
|May 16, 2019
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Summary

Neonatal transport teams in Canada primarily use dedicated models, with most requiring Neonatal Resuscitation Program certification. Variations in policies and logistics stem from regionalization and diverse provincial factors, impacting neonatal transport outcomes.

Keywords:
Dedicated teaminterfacility transportneonatal transporttransport teams

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Area of Science:

  • Neonatal Medicine
  • Healthcare Logistics
  • Transport Medicine

Background:

  • Neonatal transport is critical for critically ill infants.
  • Understanding Canadian neonatal transport team operations is essential for service improvement.

Purpose of the Study:

  • To investigate the structure, processes, and challenges of neonatal transport teams across Canada.
  • To identify commonalities and variations in their composition and operational models.

Main Methods:

  • An anonymous online questionnaire was distributed to all neonatal transport team directors/coordinators in Canada.
  • The survey covered various aspects of transport operations and was pilot-tested.

Main Results:

  • Fifteen out of sixteen Canadian neonatal transport teams responded.
  • Eighty percent (12 teams) utilize a dedicated team model; 13% (2 teams) use a combined neonatal/pediatrics model.
  • Cross-training occurs in 27% of teams; Neonatal Resuscitation Program certification is mandatory for all teams.

Conclusions:

  • This study provides a comprehensive overview of neonatal transport in Canada, highlighting both similarities and differences.
  • Regionalization, referral practices, geography, provincial laws, and manpower contribute to variations in team policies and logistics.
  • The findings can inform healthcare professionals and policymakers to enhance neonatal transport systems and improve infant outcomes.