Non-Emergency Medical Transportation
A fair number of our patients require ambulance transportation on a non-emergency basis for medically necessary reasons. Examples include pre-scheduled transfers between hospitals, other healthcare or treatment facilities, or between patient’s homes and hospitals.
Demand for non-emergency medical transportation ambulance services has increased with the growing number of specialized treatment and out-patient facilities, nursing homes and home health care agencies.
Elite Ambulance offers a continuum of options provided in accordance with our patients’ conditions and specific medical needs:
Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring. A BLS ambulance is staffed by two Emergency Medical Technicians (EMTs) who have training in basic emergency medical care such as basic airway management, use of an automated external defibrillator (AED) and basic drug administration. Examples of BLS transports include:
- Hospital discharges
- Psychiatric discharges
- Basic Life support emergencies such as lower extremity fractures
- Interfacility transfers
- Transport to dialysis
- Doctor’s offices
Advanced Life Support (ALS) ambulances transport patients who need a higher level of care during transport above those services provided by a BLS ambulance. The unit is staffed by two Paramedics who have over 1,000 hours of education and training and are qualified to render advanced life support to patients such as advanced airway management, drug administration and cardiac monitoring under the direction of a hospital. ALS can be thought of as providing service equivalent to your local 911 agency/fire department ambulance. Patients who typically require ALS transport include:
- Medical/surgical patients with a continuous IV
- Patients on a cardiac monitor
- Patients with potential airway compromise
- Any patient deemed to have a potential complication during transport when reported by the sending facility
- Life threatening medical emergencies (For example: respiratory distress, stroke, seizure, chest pains)
Specialty Care Transport (SCT) is the interfacility transportation of a critically injured or ill patient by ambulance, including providing medically necessary supplies and services at a level beyond the scope of the EMT-Paramedic. SCT is staffed with a minimum of two paramedics, capable of all ALS and BLS procedures. SCT is necessary when a patient’s condition requires ongoing care. Patients who typically require SCT include:
- Ventilator transports
- Expanded scope drug administration via IV pumps
Critical Care Transport (CCT) plans are defined in three tiers of care within the Administrative Code of the State of Illinois General Assembly. Tier II and Tier III are considered Critical Care Transports.
Tier II provides a level of care for patients who require care beyond the USDOT Curriculum and expanded scope of practice ALS (paramedic) transport program, and who require formal advanced education for ALS paramedic staff. Tier II transport includes the use of a ventilator, infusion pump with administration of medication drips, maintenance of chest tubes, and other equipment and treatment, such as but not limited to: arterial lines; accessing central lines; medication-assisted intubation; patient assessment and titration of IV pump medications, including additional active interventions necessary in providing care to the patient receiving treatment with advanced equipment and medications.
Tier III provides the highest level of ground transport care for patients who require nursing level treatment modalities and interventions. Two critical care prepared providers must remain with the patient at all times.
Certain ambulances possess the state-of-the-art equipment and members of the Elite EMS team through our Advance Ambulance affiliate possess the higher levels of licensure, education and certifications in order to provide this level of service.
Members of Elite’s Critical Care Team have enrolled in the University of Maryland’s Critical Care Emergency Transportation Program, recognized by the National Association of EMS Educators as reaching the highest standard set by the NAEMSE Endorsement Committee.
The Critical Care Emergency Medical Transport Program states that it “brings paramedics and nurses together in an effort to bridge the gap between pre-hospital and hospital care. The result is a specialized care provider that has an understanding of both aspects of patient care, and uses the understanding to provide the highest level of care to critical patients during transport.”
Elite Ambulance can provide safe and comfortable transport of bariatric patients. Elite utilizes a special gurney that is wider and supports more weight than a traditional gurney.
Our trained staff of wheelchair van drivers provide service for clients who require assisted transportation but do not require an ambulance from point of pick up safely to their destination.
Elite personnel are available 24 hours a day, seven days a week to arrange the most appropriate level of care and transportation for each patient. With this variety of transportation options, we efficiently transfer patients to the appropriate healthcare facilities.