Fletcher Allen, a Vermont university hospital and medical center, serves all of
Vermont and the northern New York region. Located in Burlington, Fletcher Allen is a regional, academic healthcare center and teaching hospital in alliance with the University of Vermont.
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.
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.