CAMTS Flashcards
(14 cards)
CAMTS
Commission on Accreditation for Medical Transport Systems
Currently 12th edition, effective 1/1/23
Flight terminology
VFR - Visual Flight Rules
VMC - Visual Meteorological Conditions
IFR - Instrument Flight Rules
IMC - Instrument Meteorological Conditions
Flight Following
All operations during flight:
Time between communications must not exceed 15 minutes
…Includes flight tracking data
All operations on scene:
Time between communications must not exceed 45 minutes
…radio, mobile phone
Flight following (Con’t)
Position must be reported every 15 minutes.
If no report is given at 15 minutes, note loss of communication
If no report is given after another 15 minutes (30 minutes total), an incident is assumed.
Action is taken according to post-accident policy or procedure.
CAMTS staffing (critical care)
Nurses:
CEN/CCRN no longer recognized for flight
Current flight nurses with CEN/CCRN must obtain CFRN or CTRN by 2025
…Advanced certification required within 2 years of hire per CAMTS
Advance practice nurse, PA-C, MD/Resident are also acceptable
Paramedics:
3 yrs of experience and 4,000 hrs of critical care experience
Paramedics employed with the same program for more than 2 years are strongly encouraged to hold NRP
Must obtain PF-C and/or CCP-C within 2 years of hire date
Shift requirements
24 hours - acceptable, provided that:
…clinicians are not required to perform duties beyond transport services.
…access to uninterrupted rest
…ability to call “time out.”
A risk management system is in place to combat the effects of fatigue.
Shift requirements (con’t)
In excess of 24 hours
…base averages <1 transport per day
…provides at least 10 hours of rest in each 24-hour period
…location of base/program is remote (one way commute inn excess of 2 hours)
Protective equipment
Hearing protection (in addition to helmet)
Appropriate clothing for environment in which your program conducts routine operations.
Boots or sturdy footwear
…“What is a mandatory piece of equipment?” - Answer: BOOTS
Helmets also required - visor down, chin strap fastened
Reflective material
Properly fitted flight suit - no more than 1/4 inch between skin and flight suit.
Minimum equipment
Patient securing system with at least 3 points of contact
Two sources of oxygen (main and portable)
Two suction units (mounted and portable)
Defibrillation capabilities
EtCO2 waveform capnography
…Transcutaneous EtCO2 (tcPCO2) monitoring is acceptable for neonatal transport teams
Specialty transport teams
NICU
ECMO
CAMTS provides guidelines for interactions between special teams and medical transport services
Per Guidelines:
Specialty teams MAY TRANSPORT without a designated safety officer from the partnering service; provided that the special team has completed AMRM training and is current.
Special teams THAT HAVE NOT COMPLETED AMRM TRAINING must be accompanied by a safety officer from the partnering service during transport
Special teams that have completed AMRM training MAY CHOOSE to transport with a designated safety officer from the partnering service.
NICU teams MUST hold advanced certification:
Paramedic: FP-C
Nurse: CFRN
Respiratory therapist: C-NPT
Didactic training
Advanced airway
altitude physiology
A&P
Patient assessment
metabolic/endocrine emergencies
aviation safety
hemodynamic monitoring
high-risk OB
infectious/infection disease
trauma - peds/adults
pharmacology
survival training
burn emergencies
GI
environmental
Sepsis
Shock
Neurological
Mechanical ventilation - neo, pedi, adult
Clinical requirements/training
Program must provide testable training with either:
clinical rotation in:
critical care
…ER
…ICU
…OB
…Prehospital/EMS
…OR
OR
HPS training (Human patient simulation)
at least annually
…adult
…high risk OB
…pediatric
…neonate
