Patient Transport Attendant Level 1 (PTA1)

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Other Vocational Titles
Patient Transport Officer, Ambulance Officer

Definition
A patient transport attendant – level1 is an individual who has undertaken accredited training in advanced first aid and patient transport and who provides quality care and transport for low acuity and non-ambulant stable patients between health facilities and/or home.

Education
Australia: Certificate III in Non-emergency Client Transport

Other Requirements
Same as for Paramedic but appropriate to the PTA1 role.

Operation
Patient transport attendants – Level 1 attend to scheduled, clinically stable patients with the aim of transporting them to a health facility for ongoing care or a residence following discharge, where there is no expected requirement for clinical intervention.  PTA1’s may be required to perform a FR role if a patient’s condition unexpectedly deteriorates, they incidentally come across a clinical incident while in transit, or if tasked by a statutory ambulance service in times of significant emergency workload or disaster response.

The PTA1 undertakes clinical management with limited autonomy in relation to a known range of clinical situations usually via the implementation of structured protocols. A thorough medical assessment is used to identify a patient’s suitability to be managed by these staff.

A PTA1 is usually engaged by a statutory or private ambulance service or paramedic service provider.  Some PTA1’s are employed directly by hospitals in Australia.

Typically these individuals are deployed as part of a two person crew and operate from an ambulance vehicle which contains limited clinical equipment and is equipped with at least one stretcher.  The PTA1 my provide care during the transport of more than one patient in a purpose-built, multi-patient capacity vehicle where the patients have been assessed as clinically and otherwise compatible.

Scope of Practice

  • Advanced first aid
  • Use of an automated external defibrillator (AED)
  • Use of infection control practices relevant to the clinical environment
  • Emergency management of cardiac arrest
  • Basic airway management
  • Administration of a limited range of medications according to protocol e.g. oxygen therapy, inhaled analgesia and adrenaline via an auto-injector
  • Use of stretchers and patient movement devices
  • Emergency triage
  • Non-emergency driving