Neonatal Registered Nurse (RN) Clinical Transport MedCenter Air

Advocate Health•Charlotte, NC
•$41 - $62

About The Position

The Clinical Transport Nurse provides professional nursing care through assessment, triage, and treatment to determine the nature and extent of a patient's illness or injury and prioritize care. The nurse provides comprehensive care through assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. Patients may be intubated, ventilated, or hemodynamically unstable. The role includes invasive procedures, hemodynamic management, ventilator management, vasopressor administration, and complex clinical problem-solving. The nurse cares for patients from neonatal through geriatric ages, operates specialized medical equipment, and uses advanced clinical skills. The Clinical Transport Nurse works autonomously outside the hospital under standards and protocols approved by the Medical Director and established by applicable nursing and emergency-services authorities. The nurse performs advanced procedures to improve patient outcomes and follows the ANA Code of Ethics for Nurses. The position is full time, 40 hours per week, with a 7 p.m.–7 a.m. night schedule. Work involves ambulance, helicopter, and airplane transport, including responding to accident scenes and working in hazardous conditions. The position requires travel and work at multiple locations across North Carolina and South Carolina based on staffing needs.

Requirements

  • Graduate of an accredited school of nursing; a BSN is preferred.
  • Meet the Clinical Nurse requirements of the professional nurse clinical advancement program, including its experience requirements.
  • Hold a current RN license or temporary RN license in the applicable state, or meet licensure requirements for the declared primary state of residence under the Nurse Licensure Compact, as applicable.
  • At least three years of clinical nursing experience in an Emergency Department and/or Intensive Care Unit.
  • Demonstrate proficiency in advanced procedures and skills after orientation and biannually.
  • EMT certification upon hire or by the end of orientation.
  • Obtain paramedic certification within one year of completing orientation; must acquire and maintain NC EMT-P, SC EMT-P, and National Registry certification.
  • Complete an approved trauma certification within one year of hire and maintain it throughout employment.
  • Maintain BLS, ACLS, PALS, NRP, and S.T.A.B.L.E. certifications after completing orientation.
  • Maintain an advanced certification such as CFRN, CTRN, CEN, CCRN, or another equivalent certification approved to meet position standards.
  • Maintain annual specialty-area or base-location education compliance, including simulation lab, mechanical ventilator management, certified emergency vehicle operations, air medical resource management, night vision goggles, survival practical, sleep deprivation/Just Culture/stress management, and transport vehicle safety training.
  • Meet minimum FAA Part 135 flight-crew requirements and aviation training requirements for applicable duties.
  • Weigh less than 240 pounds to meet safe flight weight limitations and maintain that weight while employed at MCA, except when the department has ground-position needs.
  • Have no physical, emotional, or mental impairment that prevents riding, driving, or providing patient care in a transport vehicle.
  • Maintain fitness standards under Policy 2.210 (Fit for Duty); heavy lifting with a partner, stamina, and endurance are required.
  • Have intact sight, hearing, smell, and touch; finger dexterity; good motor skills and eye-hand coordination; and strong communication and interpersonal skills, including understandable spoken English.
  • Previous transport or pre-hospital experience is preferred, not required.

Nice To Haves

  • BSN.
  • Previous transport or pre-hospital experience.

Responsibilities

  • Collect data relevant to the patient's health or situation and analyze it to determine diagnoses or issues.
  • Identify expected outcomes and develop individualized care plans, including strategies to achieve those outcomes.
  • Implement care plans, coordinate care delivery, promote health and maintain a safe environment, and evaluate progress toward outcomes.
  • Practice ethically, delegate appropriate care, maintain current nursing competence, and integrate evidence and research findings into practice.
  • Contribute to quality nursing practice, communicate effectively, evaluate personal practice against professional standards and regulations, and use resources safely, effectively, and responsibly.
  • Participate in committees and shared governance or other facility decision-making activities; support research and clinical outcomes improvement.
  • Model Atrium Health's mission, vision, values, standards, and goals, and contribute to its patient-centered care philosophy.
  • Operate and work across ambulance, helicopter, and airplane transport modes; meet flight-crew requirements, including use of night vision goggles for safe landings.
  • Independently perform advanced procedures, including drug-assisted intubation, video laryngoscopy, needle chest decompression, chest tube insertion, central line placement, intraosseous placement, pacing, cricothyroidotomy, and initiation or titration of pharmacological agents.
  • Initiate intubation, set up ventilation equipment, and operate, assess, and manage airway support, ventilator settings, and related equipment.
  • Transport and monitor patients requiring ECMO, medical circulatory devices such as VAD or Impella, intra-aortic balloon counterpulsation, internal or external pacing, ventriculostomy, and point-of-care services; manage equipment challenges and failures without internal hospital support.
  • Make critical decisions and manage patients autonomously in dynamic, resource-limited settings, including accident and scene calls outside traditional healthcare facilities.
  • Respond to accident scenes and disasters and work in hazardous environments, including inclement weather and situations involving biohazards or highly infectious patients; may be deployed for extended periods.
  • Drive and transport patients in ambulances and other vehicles in all weather, and travel to multiple locations across North Carolina and South Carolina as staffing needs require.
  • Maintain required fitness standards and meet department-specific physical requirements.

Benefits

  • Paid Time Off programs.
  • Medical, dental, vision, life, and short- and long-term disability benefits.
  • Flexible Spending Accounts for eligible health care and dependent care expenses.
  • Adoption assistance and paid parental leave.
  • Defined contribution retirement plans with employer match and other financial wellness programs.
  • Educational Assistance Program.
  • Premium pay such as shift and on-call pay, where applicable.
  • Incentive pay for select positions.
  • Opportunity for annual performance-based increases.
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