Flight Paramedic (Contract/Per Diem)

Aery Aviation•Cleveland, OH

22d•Onsite

About The Position

Aery Aviation is seeking a Flight Paramedic for a contract/per diem role. This position involves providing critical care transport services, requiring the ability to function independently in challenging environments. The role focuses on pre-transport preparation, in-flight patient care, post-transport procedures, and continuous education to maintain clinical currency and compliance with all regulations and company policies.

Requirements

Unrestricted paramedic license in the state of Ohio.
Minimum 3 years of clinical experience in a critical care transport or busy 911 system.
FP-C (Flight Paramedic Certification) or CCP-C (Critical Care Paramedic Certification) required within 2 years of hire.
Current BLS and ACLS provider certification required.
PALS required or must be obtained within 90 days of hire per Medical Director direction.
Trauma course certification (ITLS or PHTLS) preferred; specific requirement to be determined by Medical Director.
Prior fixed-wing or rotor-wing air transport experience preferred.
Working knowledge of flight physiology, altitude-related patient considerations, and the physiologic stressors of the transport environment.
Ability to function independently in an austere, resource-limited environment with minimal direct supervision.

Nice To Haves

Trauma course certification (ITLS or PHTLS) preferred.
Prior fixed-wing or rotor-wing air transport experience preferred.

Responsibilities

Reviews all available patient information prior to transport, including medical history, current diagnoses, active medications, vital signs, and relevant diagnostic results.
Confirms transport readiness in coordination with the Medical Director or designee and the referring provider.
Participates in pre-transport crew briefing, including patient condition, anticipated clinical challenges, contingency planning, and safety considerations.
Conducts equipment and medication checks to confirm the medical bag and aircraft medical configuration are stocked, functional, and appropriate for the patient's acuity and anticipated interventions; documents bag check per inventory policy.
Confirms all required transport documentation is initiated prior to departure, including consent forms, transport orders, and the patient care record.
Verifies controlled substance inventory against the medication log prior to departure; any discrepancies must be reported to the Clinical Supervisor immediately and resolved before the mission proceeds.
Provides direct patient care throughout the transport as the clinical crew member of record, operating within the paramedic scope of practice and approved offline protocols and Medical Director-issued standing orders.
Conducts a comprehensive patient assessment at the initiation of transport, including but not limited to neurological status, airway, breathing, circulation, skin, and pain; reassesses at defined intervals or with any change in patient condition.
Manages all aspects of paramedic-level care in-flight including but not limited to airway management including endotracheal intubation, IV and IO access, medication administration, cardiac monitoring, 12-lead EKG acquisition and interpretation, hemodynamic monitoring, ventilator management, chest decompression, and emergency intervention within paramedic scope of practice.
Administers medications safely and in accordance with approved protocols, including verification of drug, dose, route, and patient identity prior to administration; documents all medications administered with time, route, and patient response within the required timeframe; maintains strict controlled substance accountability throughout the transport.
Operates and interprets all transport monitoring equipment including cardiac monitor, pulse oximetry, capnography, and non-invasive blood pressure monitoring as applicable to patient condition and aircraft configuration.
Manages ventilated patients in-flight in accordance with the Aery Mechanical Ventilation protocol, including ventilator settings, sedation management, and continuous monitoring of oxygenation and ventilation status.
Applies sound clinical judgment in managing unanticipated patient deterioration or emergent events, initiating contact with medical control when indicated and within communications capability.
Maintains situational awareness of the transport environment at all times, including altitude effects on patient physiology, oxygen supply duration, IV fluid & medication availability, medication supply, and estimated time to destination.
Provides patient-centered care throughout transport including pain and anxiety management, patient positioning, comfort measures, and clear communication with the patient and any accompanying family members.
Adheres to all flight safety protocols including sterile cockpit requirements during critical phases of flight and proper securing of all equipment, IV lines, monitoring leads, ventilator circuits, and the patient at all times.
Defers to the pilot-in-command on all matters of flight safety without exception.
Provides a complete and accurate verbal & written handoff to the receiving care team at the destination facility, including patient history, clinical course during transport, interventions performed, medications administered, controlled substances used, and any changes in condition.
Completes all required patient care documentation in full prior to departure from the receiving facility or within the timeframe specified in documentation policy, including the patient care report, medication log, controlled substance accountability record, and any required state or regulatory forms.
Participates in post-transport debriefing with the crew when indicated, particularly following high-acuity transports, adverse events, or near-misses.
Restocks the medical bag and aircraft medical supplies following each transport in accordance with the restocking protocol; controlled substance restocking must follow Aery controlled substance policy and all applicable DEA requirements; documents any discrepancies immediately.
Reports any equipment malfunctions, supply discrepancies, medication errors, or safety concerns to the Clinical Supervisor promptly following the transport.
Completes all required initial orientation training prior to functioning as an independent flight crew member, including Aery Aviation-specific protocols, equipment operation, aircraft familiarization, flight safety, and emergency procedures.
Completes all required annual continuing education and skills verification as defined by the Medical Director and Clinical Supervisor, including but not limited to BLS/ACLS/PALS recertification, protocol updates, airway management skills verification including endotracheal intubation, and competency evaluations.
Actively pursues FP-C or CCP-C certification if not held at hire, with documented progress toward completion within the 2-year window required by CAMTS 12th Edition Standard.
Participates in scheduled education events, case reviews, simulation exercises, and in-services as directed.
Maintains personal clinical currency in critical care and transport medicine; 911 street practice alone does not satisfy this requirement and the Flight Paramedic is expected to maintain active critical care transport or equivalent clinical exposure.
Participates in the QA/QI program by submitting complete and accurate transport documentation that enables clinical case review.
Cooperates fully with any case review, peer review, or adverse event review initiated by the Medical Director or Clinical Supervisor.
Maintains compliance with all applicable HIPAA requirements, DEA controlled substance requirements, and Aery policies and procedures at all times.
Discloses any changes in licensure status, certification lapses, or clinical fitness concerns to the Clinical Supervisor or Medical Director immediately upon awareness.