RN – Critical Care Transport – EMS

Full-time position (80 hours biweekly) with a rotating schedule.

About Us

WellSpan Health’s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.

Responsibilities

• Provide advanced critical care nursing services during interfacility transport of critically ill or injured patients.
• Deliver high-acuity patient care in the prehospital and mobile environment utilizing evidence-based practice, advanced assessment skills, and independent clinical judgment.
• Ensure a safe and efficient transport while collaborating with referring and receiving providers to maintain continuity of care.
• Responsible for patient care incorporating assessment, stabilization, and intervention techniques consistent with standards and protocols approved by the Medical Director during critical care transports.
• Execute independent judgment to deliver appropriate care that is consistent with the clinical protocols when contact with a medical command physician is impossible.
• Provide 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.
• Follow PA DOH BLS, ALS, and CCG guidelines while caring for critically ill or injured patients transported by the WellSpan EMS system.
• Manage advanced airway procedures including mechanical ventilation, advanced airway adjuncts, and ventilator troubleshooting.
• Monitor and evaluate 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. Troubleshoot any problems that arise and make necessary corrections.
• Assist the Critical Care Transport Paramedic with rapid sequence pharmacological induction to facilitate intubation.
• Perform daily and monthly checks of equipment to assure equipment is in safe operating condition and is mission ready; perform routine restocking of supplies after each transport and maintain established par level inventory; report broken/damaged medical equipment to biomedical engineering for repair.
• Maintain 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.
• Administer and maintain pharmacologic agents and intravenous fluids during transport.
• Perform hemodynamic monitoring during transport.
• Provide outstanding service to all customers; foster teamwork; and practice fiscal responsibility through improvement and innovation.
• Identify and resolve problems in a timely manner; gather and analyze information skillfully; develop alternative solutions; work well in group problem-solving situations; use reason even when dealing with emotional topics.
• Support organizational mission and clinical excellence standards.

Qualifications

• Diploma Program or Associate's Degree in Nursing required; Bachelor's Degree in Nursing (BSN) preferred.
• 3 years of experience in Critical Care or Emergency Department required; 2 years of experience in Critical Care Ground or Critical Care Flight preferred.
• Licensed Registered Nurse or Registered Nurse Multi-State License upon hire required.
• Certified Pre-Hospital Registered Nurse (PHRN) upon hire required.
• Advanced Cardiac Life Support, Basic Life Support, and Pediatric Advanced Life Support upon hire required.
• Must possess a valid driver's license in the current state of residence. Driving record must meet requirements established by WellSpan Risk Management.
• Neonatal Resuscitation Program within 90 days required.
• NIH Stroke Scale Certification within 90 days required.
• National Incident Management System (NIMS) 100, 200, 700, and 800 within 90 days required.
• International Trauma Life Support, Advanced Trauma Life Support, or Prehospital Trauma Life Support upon hire required.
• Certified Flight Registered Nurse within 2 years preferred.

Skills

• Ability to meet eligibility to receive medical command authorization from the Medical Director.
• Exemplary clinical judgment with critical thinking, analytical, and problem-solving abilities 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

• 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