Gurney or stretcher transport is the right call when a rider cannot sit up safely for the full trip. That might be after major surgery, during advanced illness, for comfort on a long trip, or when a physician has ordered stretcher-level transportation. Here is how it works.
What the van looks like
A gurney van is configured with a locking stretcher, four securement points at floor level, oxygen mounts, and space for two trained attendants plus the rider. The cabin is larger than a wheelchair van to accommodate the stretcher and positioning equipment.
The two-attendant protocol
Every gurney trip uses two trained attendants. One drives, one stays with the rider during loading, unloading, and any in-transit positioning changes. Loading and unloading follow a two-person protocol that protects both the rider and the attendants.
Oxygen and positioning
If the rider needs continuous oxygen, tell dispatch the flow rate and whether the tank is coming with the patient. The van can accommodate bring-your-own oxygen or we coordinate a loaner arrangement. For post-operative head elevation or specific positioning, dispatch builds the configuration before the driver arrives.
What gurney is not
Gurney transport is not an ambulance. We do not provide clinical care in route. If the rider becomes unstable, we call 911. This is the correct division between NEMT and emergency services.
Key takeaways
- Gurney is for riders who must travel lying flat.
- Two trained attendants on every gurney trip.
- Oxygen-capable vans; positioning configured in advance.
- Not a substitute for an ambulance in an emergency.