Transport Program

infants to hospitals where they can receive the special treatment they need. The Angel II Neonatal Transport Team consists of healthcare professionals who are specially educated and trained to stabilize and transport sick infants.

 We the team of Angel II Neonatal Transport, are committed to assuring a safe, stable and expedient transport of the infant to his/her destination hospital. We take extreme care to safeguard every aspect of the baby's well-being while in transit.

transport

You can access Angel II 24 hrs per day, 7 days per week by calling:

NICU Hotline @ Egleston Childrens Hospital

404-325-6600 Or 1-877-325-6680
Angel II MD Cellular Phone 1-877-ANGELMD
A neonatologist will be available for consultations or to arrange for transport.

Our goal is to keep an open line of communication with the newborn's referral physician and return all babies to their hospital of birth as soon as medically appropriate.

For questions regarding Angel II Transport, please contact:
Patricia Denning, MD, Medical Director at (404) 686-8136


Angel II is a service provided by Emory Regional Perinatal Center and is housed and operated by Grady Health System in Atlanta. For 25 years, Angel II has served over 40 counties comprising the North Georgia Region. Since 1976, Angel II has transported more than 11,000 infants throughout Georgia, the continental United States and abroad, traveling as far as London, England.

Our team consists of highly trained Registered Nurses (RNs) who have earned at least a Bachelor's Degree in Nursing from an accredited college or university. The RN is the team leader and coordinates the entire transport operation. We also employ Registered Respiratory Therapists (RRTs) who are licensed and certified in the field of respiratory therapy. These highly trained and specialized individuals maintain and monitor every aspect of the infants breathing status during the transport operation. The third and most important members of the team are the Emergency Vehicle Operators (EVO). These individuals are Emergency Medical Technicians (EMT) who operate and monitor the performance of the Angel II mobile unit. They provide us with expedient, efficient and safe transportation at all times during the transport operation. We confer and receive explicit direction from Emory University, board certified Neonatalogists at all times during stabilization, transport and upon arrival to the destination hospital.

The Neonatal Transport Team:

Neonatologists: A pediatrician who specializes in the care of sick newborns.
Neonatal Transport Nurse: A registered nurse who specializes in the care, stabilization and transport of sick newborns to a neonatal intensive care unit.

Respiratory Therapist: A person who specializes in caring for the lungs and breathing. He or she maintains the infants airway for breathing as well as operating and maintaining all equipment used to help the baby breathe.

Emergency Medical Technician: A person who is specially trained to operate an emergency vehicle (ambulance) and to deliver emergency medical care when necessary.

The Transport Isolette: Newborns will be transported in a special ambulance, which is virtually a state of the art neonatal intensive care unit on wheels, This ambulance is much larger than most ambulances and has all the equipment that is needed to care for the infant. All infants transported by Angel II neonatal transport are placed in an isolette or incubator that is especially designed for transporting infants. Our transport isolette is equipped to continuously monitor every aspect of the baby's condition while in transit. The transport isolette is double walled. It has heat and circulated air to keep the infant's body temperature stable.

The Equipment We Use:

Vital Sign Monitor: This machine shows the baby's heart rate, respiratory rate (breaths per minute), blood pressure and blood oxygen saturation.

Ventilator: This machine helps the baby breathe by inflating his or her lungs with air or an oxygen mixture if needed. The ventilator is connected to an endotracheal tube or ET tube that is inserted in the baby's windpipe and rests just above the lungs.

IV pumps: These machines are used to give the baby the exact amount of IV fluid and/or medication.

Oxygen Tanks: These tanks contain oxygen in case the baby is having breathing problems and needs extra oxygen.

What We Do:

The infant's condition may need to be stabilized before traveling in the ambulance. An important aspect of his or her care is to make sure that the baby is breathing adequately. Sometimes it is necessary to give the infant oxygen to help him or her breathe easier. Oxygen can be given by a face mask or sometimes it is necessary to put the infant on a breathing machine or ventilator.

If this is the case, the infant must have an endotracheal tube. The following terms will give a better understanding of what might happen in connection with stabilizing the infant's condition to transport.

The Tubes:

Chest Tubes: A tube that is inserted into the chest to drain air and fluid trapped outside the lung. If the baby has a collapsed lung (pneumothorax), this procedure may be necessary.

Endotracheal Tube (ET)  A tube that goes into the baby's windpipe (trachea) is called an endotracheal tube or ET tube. It passes through the vocal cords and rests inside the lungs. Because it passes through the vocal cords, you will not be able to hear the baby cry. When the baby no longer needs this tube and it is removed, you will be able to hear the baby cry and make other baby sounds.

Intravenous Catheter or IV A thin plastic tube that is inserted into the vein to give IV fluids (a sugar solution) and medications. Inserting an IV will be uncomfortable for the baby, but after the IV is taped and secure, it should not hurt. Doctors and nurses put IVs into hands, arms, legs and feet. Sometimes, it may be necessary to insert an IV in a vein on the baby's scalp. If this is necessary, a small section of his or her hair will have to be shaved. You need not worry, the baby's hair will grow back.

Umbilical Arterial Catheter (UAC) A long, thin, pliable tube that is inserted into an artery located in the baby's umbilical cord. This special IV is to obtain blood samples for testing without having to stick the baby with a needle to draw blood. It is also used to monitor the baby's blood pressure.

Umbilical Vein Catheter (UVC) A long, thin, pliable tube that is inserted into a vein located in the baby's umbilical cord. The veins located in the umbilical cord are quite large. The insertion of this tube is not painful and usually lasts much longer than a regular IV listed above.

Peripheral Arterial Line (PAL) A special IV that is placed in an artery located in the wrist, feet or scalp. It is used to obtain blood samples for testing and to monitor blood pressure.

Orogastric Tube (OG Tube) or Nasogastric (NG Tube):  A tube that is placed through the baby's mouth (og) or nose (ng) into their stomach. This tube is used to remove air or fluid from the baby's stomach that can make them feel uncomfortable. When the baby is ready to start eating formula or breast milk, he or she may be fed through this tube, if they are not yet ready to suck a bottle. The baby may gag when the tube is inserted, but it does not hurt.

Things We May Discuss With You:

IMV: This term is used when talking about the ventilator or the baby's breathing machine. This is the number of breaths per minute the ventilator is giving the baby. The baby will be able to breathe some on his own between the ventilator breaths.

PIP: The amount of pressure needed to inflate the baby's lungs.

PEEP: The amount of pressure needed to keep the lungs from deflating completely. This term is used with PIP.

CPAP: (pronounced "see-pap") This is constant pressure to keep the baby's lungs from completely deflating. The baby will be doing all the breathing on his/her own.

Blood Gases: These are blood samples drawn from the baby to measure the presence of oxygen, carbon dioxide and acid in the blood. These measurements are used to adjust the ventilator setting and the oxygen concentration delivered to the baby.

Where We Are Taking The Baby:

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) 325-6600
  • CICU (404) 325-6565
  • PICU (404) 325-6600
  • 2 East (404) 325-6506
Grady Health System
  • 5K SCN (404) 616-4915
  • 5L NICU (404) 616-4920
Emory University Hospital Midtown
  • NICU (404) 686-2263
  • SCN (404) 686-2261


More Information You Need to Know:

Even though the baby is being transported to another hospital, 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.

The Angel II Neonatal Transport Unit is a highly specialized service. We are not like an regular ambulance unit. We are essentially a neonatal intensive care unit on wheels or when necessary in the air. 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.

Before we leave with the infant, it is our practice to bring the infant to Mom's room so that the parents and other family members will have an opportunity to see the infant and ask questions. Please remember that any question that you might have concerning this process is important to us. So, do not hesitate to ask. Also, at this time we will have you sign consent forms for transport. Listed below are the names of the persons who are part of the Angel II

Neonatal Transport Team:
  • Ann Critz, M.D., Medical Director of Angel II Neonatal Transport. Neonatalogist, Special Care Nurseries, Emory University Hospital Midtown
  • Marcia Berry, MS, RN, Coordinator of Angel II Neonatal Transport, Grady Health System
  • Maeretha Smith, Paramedic, EMT Supervisor for Angel II Neonatal Transport, Assistant Director of EMS, Grady Health System
  • Irma Seabrook, RRT, Respiratory Therapy Supervisor for Angel II Transport and Special Care Nurseries, Grady Health System
Transport Nurses / Nurse Practioners:
  • Gayla Eppinger, RN, MSN
  • Jennifer Johnson, RN, BSN
  • Jill Morris, RN, MSN
  • Christy Patrick, RN, BSN
  • Patricia Robinson, RN, MS
  • Erin York, RN, MS
Respiratory Therapists:
  • Eddie Bishop, RRT
  • Lester Bums, RRT
  • Nat Dawonde, RRT
  • Tsen Dennis, RRT
  • Paula Harris, RRT
  • Ron Jackson, RRT
  • Renita Matthews, RRT
  • Miranda Mose, RRT
  • James Murry, RRT
  • Peter Smith, RRT
Emergency Vehicle Operators:
  • Ken Bowles, EMT
  • Chris Chambers, EMT
  • Mike Lieb, EMT
  • Bobby Lester, EMT
  • Kevin Peterson, EMT
  • Scott Tillman, EMT