CCOT comprises of senior critical care nurses (bleeps 1294, 1680 and 1681) and a senior physio (1205). They see MANY referrals (approximately 1200 primary referrals per year) and all patients who step-down from ACCU (1700 per year). They may come to you for advice, patient review or to refer patients for escalation to ACCU. Please respond to these requests promptly, involving the ACCU consultant where necessary. Discussion with a senior member of the referring team is also required.

The CCOT physio or the tracheostomy team may ask you to perform trache changes on the ward: this is routine for the first change of a tracheostomy tube.