Patient Transport Attendant Level 2 (PTA2)

Home / Paramedicine Role Descriptors / Patient Transport Attendant Level 2 (PTA2)

Other Vocational Titles
Ambulance Officer (Patient Transport Service)

Definition
A patient transport attendant – level 2 is an individual who has completed accredited training in patient transport and management and who provides quality care and transport for medium acuity, stabilised patients between health facilities and/or home.

Education
Australia: Diploma of Paramedical Science (Ambulance)

Other Requirements
Same as for the Paramedic but appropriate to the PTA2 role.

Operation
PTA2’s attend to scheduled, clinically stabilised patients with the aim of transporting them to a health facility for ongoing care (or a residence following discharge) where there is a possibility of the requirement for clinical intervention during the transfer.  These patients may require ongoing clinical monitoring which may involve the taking of basic observations or ECG rhythm strip.

On occasions PTA2’s may be required to perform an FR role if a patient’s condition unexpectedly deteriorates, they incidentally come across a clinical incident in transit, or if tasked by a statutory ambulance service in times of significant emergency workload or disaster response.

The PTA2 undertakes clinical management with greater individual responsibility and autonomy than the PTA1 in relation to a range of situations where individuals are expected to demonstrate initiative and judgement in clinical practice.  Practice, particularly the administration of medications, is usually regulated via structured protocols.

A PTA2 is usually engaged by a private ambulance service or paramedic service provider.

Typically these individuals are deployed as part of a two-person crew and operate from an ambulance vehicle which contains a range of relevant clinical equipment and is equipped with at least one stretcher. The PTA2 may 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 clincally and otherwise compatible.

The PTA2 takes some responsibility for the work of others and the mentoring and support of student PTA’s.

Scope of Practice

  • Australian Resuscitation Council –  Basic Life Support including use of Laryngeal Mask Airway
  • Use of infection control practices relevant to clinical environment
  • Use of ECG monitor, basic interpretation of ECG rhythm strip and pulse oximetry
  • Use of an automated and/or manual external defibrillator
  • Emergency management of cardiac arrest
  • Transfer of patients experiencing a mental health crisis or subject to detention orders
  • Administration of a limited range of medications according to protocol
  • Ongoing management of intravenous infusions
  • Spinal stabilisation
  • Use of stretchers and patient movement devices
  • Emergency triage
  • Emergency driving