RN Critical Care Transport EMS

Full-time (80 hours biweekly)

Rotating Schedule

Competitive pay!!!

General Summary

Provides advanced critical care nursing services during interfacility transport of critically ill or injured patients. Delivers high-acuity patient care in the prehospital and mobile environment (Emergency Management Services) utilizing evidence-based practice, advanced assessment skills, and independent clinical judgment. Ensures a safe and efficient transport while collaborating with referring and receiving providers to maintain continuity of care.

Duties and Responsibilities

Essential Functions:

• Responsible for patient care incorporating assessment, stabilization, and intervention techniques consistent with standards and protocols approved by the Medical Director during critical care transports.
• Executes independent judgment to deliver appropriate care that is consistent with the clinical protocols when contact with a medical command physician is impossible.
• Provides advanced life support to critically ill or injured patients in adherence to established protocols and standards of care; assess online medical command or other resources when appropriate.
• Follows PA DOH BLS, ALS, and CCG guidelines while caring for critically ill or injured patients transported by the WellSpan EMS system.
• Manages advanced airway procedures including mechanical ventilation, advanced airway adjuncts, and ventilator troubleshooting.
• Monitors and evaluates invasive and non-invasive procedures and their therapeutic effect, including the monitoring and operation of the fully functional critical care transport ventilator, ventricular assist devices (including, but not limited to, IABP, Abio-med, Tandem Heart, Heartmate), ECMO support, and ventriculostomies. Troubleshoots any problems that arise and makes necessary corrections.
• Assists the Critical Care Transport Paramedic with rapid sequence pharmacological induction to facilitate intubation.
• Performs daily and monthly checks of equipment to assure equipment is in safe operating condition and is mission ready; performs routine restocking of supplies after each transport and maintains established par level inventory; and reports broken/damaged medical equipment to biomedical engineering for repair.
• Maintains clinical competence across all aspects of scope of practice including, but not limited to, cardiac assist devices (IABP, Abio- med, Tandem Heart, Heartmate), ARDS treatment including advanced ventilator management and nitric oxide implementation, ECMO support, obstetric emergencies, trauma patient care across the lifespan, critical care across the lifespan, and any other patient population that is transported.
• Administers and maintains pharmacologic agents and intravenous fluids during transport.
• Performs hemodynamic monitoring during transport.

Common Expectations:

• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
• Problem Solving – Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics.
• Supports organizational mission and clinical excellence standards.

Qualifications

Minimum Education:

• Diploma Program Required or
• Associates Degree In Nursing. Required
• Bachelors Degree In Nursing (BSN). Preferred

Work Experience:

• 3 years Experience in Critical Care or Emergency Department. Required
• 2 years Experience in Critical Care Ground or Critical Care Flight. Preferred

Licenses:

• Licensed Registered Nurse Upon Hire Required or
• Registered Nurse Multi State License Upon Hire Required and
• Certified Pre-Hospital Registered Nurse (PHRN) Upon Hire Required and
• Advanced Cardiac Life Support Upon Hire Required and
• Basic Life Support Upon Hire Required and
• Ped Adv Life Support Upon Hire Required

Driver's License Statement:

Must possess a valid driver's license in the current state of residence. Driving record must meet requirements established by WellSpan Risk Management.

Courses and Training:

• Neonatal Resuscitation Program within 90 days Required and
• NIH Stroke Scale Certification within 90 days Required and
• National Incident Management System (NIMS) 100, 200, 700, and 800 within 90 days Required and
• Intl Trauma Life Support Upon Hire Required or
• Adv Trauma Life Support Upon Hire Required or
• Prehospital Trauma Life Support Upon Hire Required or
• Certified Flight Registered Nurse within 2 years Preferred

Knowledge, Skills, and Abilities:

• Ability to meet eligibility to receive medical command authorization from the Medical Director.
• Exemplary clinical judgment with critical thinking, analytical, and problem-solving abilities are required for various aspects of patient care.
• Ability to work productively and effectively within a complex environment and handle multiple/changing priorities and specialized equipment.
• Critical thinking skills necessary to exercise and lead others in applying the nursing process.
• Maintains fitness for duty (if qualified as a flight crew member) by adhering to all employee health requirements, including maximum weight, hearing conservation program, and required medical screenings.

Benefits Offered:

• Comprehensive health benefits
• Retirement savings plan
• Paid time off (PTO)
• Education assistance
• Financial education and support, including DailyPay
• Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)