Secondary transportation of critically ill people--implications for nurses and the need for specialist training.

Much has been published about the techniques and procedures involved in secondary transportation of the critically ill, together with the complications and limitations that arise during the transfer procedure. However, little has been written or published concerning the implications to the staff accompanying the patient and it is acknowledged that this has yet to be properly addressed (Runcie et al 1991). Transfer of critically ill patients with complex problems places staff in a unique patient-care environment, placing a tremendous responsibility on the individuals concerned and puts them in a very vulnerable position, especially if an emergency develops during transit. Recognition must be made of this specialist role and the commitment involved. Nurses, who form a vital part of the transfer team, cannot be expected to adapt easily to this form of advanced care without some form of training, which should be undertaken before individual nurses are allowed to perform this most important and responsible role.