Neonatal Registered Nurse (RN) Clinical Transport MedCenter Air

Department: 70521 Atrium Health Mobile Medicine – Critical Care Ground Transports | Status: Full time | Benefits Eligible: Yes | Hours Per Week: 40 | Schedule: 7p–7a, Nights FT | Pay Range: $41.10 – $61.65 per hour

About the Role

The Clinical Transport Nurse provides professional nursing care through high-quality assessment, triage, and treatment to assess the nature and extent of a patient's illness or injury and prioritize needed care. Provides comprehensive nursing care through skillful assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. Patients often are intubated, on ventilators, or have hemodynamic instability. The Clinical Transport Nurse performs invasive procedures and hemodynamic management of critical patients, manages ventilator settings, vasopressors, and solves complex clinical challenges. Must have strong clinical knowledge and skills necessary to care for patients of all ages with a diverse range of medical needs (neonatal–geriatric) operating specialized medical equipment and utilizing advanced skills. Functions autonomously outside the hospital environment under standards and protocols approved by the Medical Director as established by the North Carolina Board of Nursing, North Carolina Offices of Emergency Services, and South Carolina Department of Health and Environmental Control. Must be proficient in advanced practice procedures to provide improved patient outcomes. Practice is guided by the ANA Code of Ethics for Nurses with Imperative Statements.

Responsibilities

• Collects data pertinent to the healthcare consumer's health or the situation.
• Analyzes assessment data to determine diagnoses or issues.
• Identifies expected outcomes for a plan individualized to the healthcare consumer or situation.
• Develops a plan that prescribes strategies and alternatives to attain expected outcomes.
• Implements the identified plan, coordinates care delivery, and employs strategies to promote health and a safe environment.
• Evaluates progress toward attainment of outcomes.
• Practices ethically.
• Delegates elements of care to appropriate healthcare workers.
• Promotes shared governance or facility decision-making activities, developing and nurturing research to positively affect clinical outcomes and promotion.
• Attains knowledge and competence that reflects current nursing practice.
• Integrates evidence and research findings into practice.
• Contributes to quality nursing practice.
• Communicates effectively in a variety of formats in all areas of practice.
• Evaluates own nursing practice in relation to professional practice standards, guidelines, statutes, rules, and regulations.
• Utilizes appropriate resources to plan and provide nursing services that are safe, effective, and financially responsible.
• Participates in committees, shared governance, or other facility decision-making activities.
• Practices in an environmentally safe and healthy manner.
• Models the mission, vision, values, standards of excellence, and goals of the Atrium Health system.
• Supports and contributes to the patient-centered care philosophy by understanding that every teammate is a caregiver whose role is to meet the needs of the patient.
• Required to have operational knowledge for multiple modes of transportation including ambulances, helicopters, and airplanes.
• Must be trained in aviation and meet minimum requirements to operate as a “flight crew member” per FAA Part 135 regulations, including operation of Night Vision Goggles to ensure safe landings.
• Independently initiates advanced practice procedures to provide improved patient outcomes such as: drug-assisted intubation, video laryngoscopy, needle chest decompression, chest tube insertion, central line placement (UA/UV, EJ), intraosseous placement, transvenous/transcutaneous pacing, needle cricothyroidotomy, surgical cricothyroidotomy, and initiation/titration of pharmacological agents.
• Initiates intubation procedures and sets up ventilation equipment.
• Operates, assesses, and manages patient airway support, ventilator settings, and equipment.
• Transports and monitors patients requiring ECMO, Medical Circulatory Devices (VAD, Impella), Intra-aortic Balloon Counter Pulsation, Internal/External Pacing, Ventriculostomy, and Point of Care.
• Must be capable of handling equipment challenges and failures without support of internal hospital resources.
• Works in an autonomous environment requiring patient management and critical decision-making based on dynamic patient status in unique settings such as accident/scene calls outside traditional hospital and healthcare settings with limited resources and support.
• Responds to accident scenes and works in hazardous environments, including inclement weather, biohazards, and highly infectious patients.
• Responds to disasters and may be deployed for extended periods.

Physical Requirements

• Must weigh less than 240 pounds to meet safe flight weight limitations and scheduling requirements; must maintain that weight while employed (exception only when department has ground position needs).
• Duties require working and transporting patients in ambulances as well as driving vehicles including ambulances in all weather conditions.
• Required to drive to and work at multiple locations across NC and SC based on staffing needs.
• Must not have any physical, emotional, or mental impairment preventing riding, driving, or administering patient care in transport vehicle.
• Work area has cramped space and can be poorly lit; noise levels are moderate; hearing protection required around “hot” aircraft.