ALS/Critical Care Staffing Services
Surface Basic Life Support Staffing
ACT Medical Solutions Emergency Medical Technicians, Paramedics and Nurses are capable to deliver Basic Life Support (BLS) transport in the pre-hospital and interfacility environment. Clinical Crew member Emergency Medical Technicians, Paramedics and Nurses are national training. Paramedics are board certified as Critical Care Paramedics (CCP-C) by the IBSC. Nurses are board Certified Transport Register Nurse (CTRN) by the BCEN. Vehicle operator is EVOC-trained and properly updated.
ACT Clinical Crew can operate the following equipment, procedure, and medications while working in the BLS environment.
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Oral/pharyngeal airway
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Pulse oximeter
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Automatic external defibrillator
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Bag-valve mask
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Glucometer
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Adequate oxygen source
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Hemorrhage control supplies/equipment (such as tourniquets, packing materials)
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Depends on state/local or national requirements, or medical director requirements (e.g.,
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auto-injector)
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Bag-valve mask ventilation and oxygenation
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Selective spinal immobilization
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Non-invasive vital sign measurement (e.g., blood pressure, pulse-oximetry)
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Control of bleeding
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Exposure (Infection) control
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Rapid sequence induction (medication facilitated)
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Surgical airway
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Ability to manage tube thoracostomy
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Ability to manage central line
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Blood product infusion
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Continuous temperature management (i.e., therapeutic hypothermia)
Surface Transport Advanced Life Support Staffing
ACT Medical Solutions ALS Scope of Care are capable to deliver out-of-hospital care during the acute resuscitation phase before definitive care is provided (e.g. comparable to emergency department stabilizing care or an ICU transfer to more definitive care). ACT Medical Solutions ALS crew are direct patient care provided and can also perform as a vehicle operator. The ALS primary care provider of the clinical crew may be a physician, registered nurse, or a paramedic. The nurse, paramedic who is the primary care provider have 3 years of critical care experience. Critical care experience is defined as no less than 4000 hours’ experience in an ICU or an emergency department. In addition, nurses and paramedics in the primary care provider role have experience in the medications and interventions listed below as well as IABP management (if part of scope of care), central line monitoring, left arterial wedge pressure monitoring and ventilator management. Additionally primary care can work autonomous under any scope of practice from the requesting service.
ACT Medical Solutions ALS can operate all equipment in BLS, ALS and Emergency Critical Care. ACT Medical Solutions ALS can operate multimodality ventilators appropriate to all patient age categories being transported (APRV, reverse I:E). ACT Medical Solutions ALS Crews are to also operate Invasive monitoring including hemodynamic (e.g., pulmonary artery catheters), cardiac (e.g., IABP), and neurological (e.g., intracranial pressure monitors). ACT Medical Solutions ALS Crews medications knowledge includes all medications in ALS and Emergency Critical Care and medication infusion pumps. ACT Medical Solutions ALS Crews interventions includes all interventions in BLS, ALS and Emergency Critical Care plus the ability to perform tube thoracotomy (if in scope of care of requesting service)
