Critical Care Transport

  • FACT (Fletcher Allen Coordinated Transport)
  • Medical Center Campus
  • West Pavilion, Level 1
  • 111 Colchester Avenue
    Burlington, VT, 05401
  • Phone: 888-389-3228
  • Directions

Fletcher Allen Coordinated Transport (FACT)

Fletcher Allen Coordinated Transport (FACT)

Fletcher Allen's highly specialized critical care transport service serves patients who require transfer to Fletcher Allen for advanced care from hospitals located throughout our service area of Vermont and northern New York.

This service, known as Fletcher Allen Coordinated Transport (FACT), includes a fleet of specially equipped ambulances and skilled personnel. This service is available 24 hours a day, seven days a week.

Nearly 10,000 patients have been cared for by this service since its inception in June of 1995. FACT has three staffed ambulances available, including one housed at Fletcher Allen affiliate hospital, Alice Hyde Medical Center in Malone N.Y.

The staff include critical care nurses, paramedics and intermediate-level Emergency Medical Technicians. Emergency Department physicians at Fletcher Allen provide medical direction for the team. When transporting children, the team is guided by a physician in the pediatric intensive care unit.

The dispatch service for FACT can be reached by calling 1-888-389-3228.


We provide critical care and trauma nursing practice primarily via ambulance and occasionally fixed-wing transports. The transport nurse functions as a team leader, has an elevated level of autonomy, and has a scope of practice which includes: Endotracheal intubation, Rapid sequence induction, management of vasoactive drips, central line access and needle chest decompression. 

Critical Care Services in Burlington, VT

In addition, our staff is trained in areas such as high-risk obstetrics, pediatric and adult respiratory therapy, SICU (surgical intensive care unit), intra-aortic balloon pump management, Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Neonatal Resuscitation Program (NRP).  

There are monthly case reviews and topic presentations at staff meetings, and an ongoing performance improvement and quality assurance program. Non-transport time is spent providing intra/extra hospital education, and working in the Fletcher Allen Emergency Department, Surgical Intensive Care and Pediatric Intensive Care Units.

Specialized, adult and pediatric critical care equipment is available in all FACT ambulances. These transport vehicles are equipped with transport ventilators capable of several modes of ventilation, a liquid oxygen system, invasive line monitoring equipment; internal and external pacing; external defibrillation; infusion pumps; doppler; pulse oximetry; end tidal CO2 monitoring; non-invasive blood pressure monitoring; and an extensive selection of pharmaceuticals. The transport vehicles can be reconfigured to accommodate an intra-aortic balloon pump, bariatric patient or a pediatric isolette.


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