Transport Program

Angel II Neonatal Transport is a specialized mobile neonatal intensive care unit that stabilizes and transports sick and/or premature infants to hospitals where they can receive the special treatment they need. The Angel II Neonatal Transport Team consists of highly trained registered nurses, respiratory therapists, and emergency vehicle operators who provide this specialized care under the direction of Emory University neonatologists.

www.pediatrics.emory.edu/divisions/neonatology/index.html

Angel II Neonatal Transport operates as part of the Georgia Regional Perinatal System is a service provided by Emory Regional Perinatal Center and is housed and operated by Grady Health System in Atlanta. Serving more than 40 counties in the North Georgia Region and transporting more than 25,000 infants since 1976, Angel II is committed to assuring safe, professional, and expedient neonatal care during every aspect of the transport.

Referring providers should call 404-785-6600 (Medical control from the NICU at Egleston's Children's Hospital) to arrange a transport to one of the centers in the Emory Perinatal Region. Initial information may be obtained by a nurse or neonatology fellow. A neonatologist is always available for consultations or assistance in arranging transport/transfer.

Information to have available: Patient name, DOB/time of birth, birth weight, gestational age, Apgars, maternal history, current weight and gestational age, invasive devices in place (PICC, PIV, PAL), respiratory/ventilator settings and most recent blood gas, current IV infusions/feeds, current medications.

Preparing a baby for transport: The team will take necessary time to stabilize and prepare for transport as much as possible, however some transports are time sensitive. Referring staff can help expedite transport by:
  1. Having discharge summary/chart copy prepared
  2. Have a current list of medications and time/amount of last dose
  3. Having family available for consent or good contact information
  4. Having most recent X-ray available for review
  5. Preparing syringes (either BD or Monoject are acceptable) of ongoing infusions
Neonatal Transport Nurse: A registered nurse or nurse practitioner who specializes in the care, stabilization and transport of sick newborns to a neonatal intensive care unit. The RN is the team leader and coordinates transport. Our RN's our experienced NICU nurses and many have been doing neonatal transport for more than 10 years.

Registered Respiratory Therapists (RRTs): A person who specializes in caring for the lungs and breathing. Our team also contains a RT with specific neonatal training and experience for every transport.

Emergency Vehicle Operators (EVO): These individuals are Emergency Medical Technicians (EMT) who operate and monitor the performance of the Angel II mobile unit. They are also trained to deliver emergency medical care when necessary.

Physician Trainees: Physicians in training from the Emory University School of Medicine Pediatric Residence Training program and the Neonatology Fellowship program will occasionally accompany the team to gain more experience in neonatal transport medicine and assist with the care of infants during transport.

Medical Control: We confer and receive explicit direction from Emory University, board certified neonatologists during stabilization, transport and upon arrival to the destination hospital.
Ventilators: We can provide both intermittent mandatory ventilation (traditional ventilation) and High Frequency Ventilation using the Bronchoton ®. The Bronchotron is a high frequency mechanical ventilator for a transport environment. It is classified as a pneumatically powered, pressure limited, time cycled, high frequency flow interrupter.

Nitric Oxide: For patients with severe pulmonary hypertension, Angel II has a portable unit that allows us to initiate or continue inhalation nitric oxide during transport.

Therapeutic Hypothermia: Starting in 2018, Angel II now provides therapeutic hypothermia on transport for patients who meet the criteria for hypoxic ischemic encephalopathy (HIE) and are candidates for cooling. We use the Tecotherm Neo, a servo controlled whole body cooling system designed specifically for neonatal cooling and FDA approved for transport.

We most commonly transport infants to hospitals that are part of the Emory Regional Perinatal Center: Children's Healthcare of Atlanta at Egleston, Emory University Hospital Midtown and Grady Health System.



CHOA at Egleston
  • NICU (404) 785-6600
  • CICU (404) 785-6565
Grady Health System
  • NICU (404) 616-4920
Emory University Hospital Midtown
  • NICU (404) 686-2261
Breastfeeding: Even though the baby is being transported to another hospital, breastmilk is still the healthiest choice and you may still breast feed the baby. You will pump the milk from the breast and refrigerate or freeze it until the baby can be fed. The nurse taking care of the infant at the destination hospital will give you more information concerning breastfeeding the baby.

Family on transport: The Angel II Neonatal Transport Unit is a highly specialized service. Because of the type of care we deliver, it is not our policy to allow parents or other family members to ride in the Angel II Unit. Should you have questions concerning this policy, please feel free to discuss this with the infant's Transport Nurse.

Maternal visitation: Before we leave with the infant, it is our practice to bring the infant to Mom's postpartum room so that the parents and other family members will have an opportunity to see the infant and ask questions. This is not always possible for infants who are the most critically ill.
  • Patricia Tate, RN, MSN, RNC-NIC
    Clinical Manager of Neonatal Transport
    Office phone: 404-616-4972
    Email: ptate@gmh.edu
  • Sarah Keene, MD
    Medical Director, Angel II Neonatal Transport
    Office phone:404-778-1430
    Email: skeene@emory.edu
  • Derrick B. George, RRT, NPS
    Respiratory Care Supervisor, NICU and Neonatal Transport
  • George W. Bugg, MD
    Neonatal Director of the Emory Regional Perinatal Center and Chief of Service for Neonatology at Grady Memorial Hospital