NICU Flight Nurse Per Diem

REVA INC•Fort Lauderdale, FL

3d•Onsite

About The Position

REVA is one of the largest fixed wing air ambulance operators globally and provides medical transport services on 24/7/365 continuous basis. Responsibilities of the Flight Nurse include evaluation, coordination, and delivery of medical care provided to patients during all phases of transport. Must be familiar with scope of practice of the transport team and the State rules and regulations in which the transport team operates. Works with the other transport team members to coordinate care of the patient during transport; once called, readily available/arrive at specified location, within 30 minutes before wheels. The following reflects management’s definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons. The flight nurse is responsible for completing the quarterly and annual requirements to maintain active flight status to include: completion of intubations quarterly, attendance at staff meetings, and annual: airway course, mock codes, annual online training program, safety and infection control, aircraft / personnel security briefing, equipment and supplies competency / currency validation, medical screening update, wellness form, EMS Rules and Regulations, and Haz-mat recognition and response. PRE-FLIGHT RESPONSIBILITIES Obtains medical report from Medical Coordinator or designee, to include addressing diseases affected by altitude. May obtain medical intake information at direction of medical leadership or designee. Calls for updated patient medical report for the discharging facility / physician, if needed. Completes pre-flight checklists. Assures medical equipment is accounted for, properly functioning, and securely stowed on the aircraft. Familiar with location and use of equipment and supplies, to include all medications. Assures additional medical equipment / supplies are available for specific needs of the patient condition and needs, based on available patient report and distance of transport. Logs out controlled substance / narcotics box per policy. Communicates condition, acuity, and any unusual issues with entire transport team. Reviews dispatch sheer with Medical Coordinator and Flight Crew, noting any special instructions. Participates in pre-flight briefings with other members of team, including pilots. TRANSPORT RESPONSIBILITIES Performs and documents a complete head to toe assessment of the patient (to include neuro, skin, HEENT, neck, chest, cardiac, abdominal, pelvis, GU, back, and extremities at a minimum. Assures patient and passengers have all appropriate documentation, i.e. passports, visas, before departure from the discharging facility. Calls Dispatch if any uncertainty or questions as to appropriateness of travel documents. Review release forms, waivers, DNR (when appropriate) to family member and/or patient. Answers questions and assures signatures are obtained prior to leaving discharging facility. Safeguards medical records, X-rays, etc. per HIPAA regulations. Assists pilots as needed in baggage search for hazardous materials. Assures patients medical records and personal belongings accompanying patient. Coordinates the transfer of the patient to the aircraft, maintaining continuity of care and insuring patient, passengers, and belongings are secured. Assures compliance with minimum standards patient care requirements - see policy. Provides orientation and mentoring for new program/flight crew members, medical and aviation. Continuously monitors and documents patient’s condition to include, but not limited to, head to toe assessment with updates, vital signs, continuous cardiac monitoring, and pulse oximetry, including documentation of cabin pressures hourly, treatment / interventions / medications performed, with responses noted, and pain scale 1 to 10 out of 10 noted with vital sign assessment. Completes medical record documentation, including demographics and signatures. Assures completion of Physician’s Order form and completes the controlled substance inventory control form. Assures adherence to universal precautions and initiates additional precautions deemed necessary by disease specific diagnosis and/or signs and symptoms. Communicates changes in patient’s condition to Medical Coordinator, Resource Manager and Medical Director as needed. Initiates flight schedule changes according to patient condition changes, keeping MC, RM and Medical Director as well as Dispatch informed of these changes. Any change in patient condition requiring contacting outside agencies must first be approved by Resource Manager and Medical Director or designee, as well as Dispatch and Operations team. NICU Essential Duties and Responsibilities Provide comprehensive neonatal critical care during fixed-wing and ground transports. Perform advanced neonatal assessments and develop appropriate treatment plans. Stabilize critically ill and premature infants prior to and during transport. Administer medications, blood products, and IV fluids in accordance with protocols and physician direction. Operate and troubleshoot specialized neonatal transport equipment including: Transport incubators Mechanical ventilators High-frequency ventilators (when applicable) CPAP systems Cardiac monitors Infusion pumps Nitric oxide delivery systems (if applicable) Perform neonatal airway management including endotracheal tube monitoring and assistance with advanced airway procedures. Monitor ventilated neonates and make ventilator adjustments per protocol. Participate in quality improvement initiatives and case reviews. Ensure compliance with FAA regulations, CAMTS standards, company policies, and clinical protocols. Participate in continuing education, competency assessments, simulation training, and mandatory flight safety programs. Maintain readiness of aircraft medical equipment and supplies. Assist with inventory management and equipment inspections.

Requirements

High school diploma or general education degree (GED) or equivalent combination of education and experience.
Minimum of 3 years’ experience in critical care and/or emergency care nursing.
Successful completion of the medication, rhythm strip evaluation.
Current BLS, ACLS, PALS, NRP, PHTLS.
Active, unrestricted State / Government license (depending upon home base location).
Valid Passport with no restrictions to travel to/from and within the U.S. and foreign countries/ territories.
Ability to arrive at specified location within 45 minutes of wheels (Time extensions granted on a case-by-case basis).
Successful completion of the ground school and orientation program.
Supplies current licensure and/or certifications on a continual basis.
Employees are responsible for maintaining active RN License.
Expected to answer phone while on call.
Proficient with Microsoft Office including but not limited to: Outlook, PowerPoint, Excel, Word, and Teams.
Proficient with ESO Charting Software.
Active unrestricted (RN) License.
Required to maintain the following certifications: ACLS, BLS, PALS, NRP, PHTLS.

Nice To Haves

Nursing certifications (i.e., CEN, CCRN, and especially CFRN) are strongly encouraged.
Paramedic certification is strongly encouraged.
STABLE Program Certification.
Advanced Fetal Monitoring (preferred).
Transport Professional Advanced Trauma Course (TPATC) preferred.
Certified Neonatal Intensive Care Nurse (RNC-NIC) preferred.
Adult ICU, Emergency Department, Critical Care Transport, or other adult critical care experience. (Highly Preferred).

Responsibilities

Evaluation, coordination, and delivery of medical care provided to patients during all phases of transport.
Familiarity with the scope of practice of the transport team and State rules and regulations.
Coordination of patient care with other transport team members.
Readily available/arrive at specified location within 30 minutes before wheels.
Completing quarterly and annual requirements to maintain active flight status (e.g., intubations, staff meetings, airway course, mock codes, online training, safety and infection control, security briefing, equipment competency, medical screening update, wellness form, EMS Rules and Regulations, Haz-mat recognition and response).
Obtaining medical reports and addressing diseases affected by altitude.
Completing pre-flight checklists.
Ensuring medical equipment is accounted for, properly functioning, and securely stowed.
Familiarity with the location and use of all equipment, supplies, and medications.
Ensuring availability of additional medical equipment/supplies for specific patient needs.
Logging out controlled substance/narcotics boxes per policy.
Communicating patient condition, acuity, and issues with the transport team.
Reviewing dispatch sheets and participating in pre-flight briefings.
Performing and documenting complete head-to-toe patient assessments.
Ensuring patients and passengers have appropriate travel documentation.
Reviewing release forms, waivers, and DNRs with family/patient and obtaining signatures.
Safeguarding medical records per HIPAA regulations.
Assisting pilots with baggage search for hazardous materials.
Coordinating patient transfer to the aircraft, maintaining continuity of care and ensuring security.
Providing orientation and mentoring for new program/flight crew members.
Continuously monitoring and documenting patient's condition, including vital signs, cardiac monitoring, pulse oximetry, cabin pressures, treatments, interventions, medications, and pain scale.
Completing medical record documentation, including demographics and signatures.
Ensuring completion of Physician’s Order form and controlled substance inventory control form.
Adhering to universal precautions and initiating additional precautions as necessary.
Communicating changes in patient’s condition to Medical Coordinator, Resource Manager, and Medical Director.
Initiating flight schedule changes based on patient condition changes.
Providing comprehensive neonatal critical care during fixed-wing and ground transports.
Performing advanced neonatal assessments and developing treatment plans.
Stabilizing critically ill and premature infants prior to and during transport.
Administering medications, blood products, and IV fluids.
Operating and troubleshooting specialized neonatal transport equipment.
Performing neonatal airway management and assisting with advanced airway procedures.
Monitoring ventilated neonates and making ventilator adjustments.
Participating in quality improvement initiatives and case reviews.
Ensuring compliance with FAA regulations, CAMTS standards, company policies, and clinical protocols.
Participating in continuing education, competency assessments, simulation training, and flight safety programs.
Maintaining readiness of aircraft medical equipment and supplies.
Assisting with inventory management and equipment inspections.