FULL TIME NIGHTS 36 hours/week
7P - 7A with weekend rotation
We re searching for a Transport Staff RN, Ambulance Air & Ground to coordinate professional nursing and individualized, family centered care to pediatric patients, ranging from extreme prematurity through adolescence in the critical care transport environment. Care and transport of the critically ill patient is supported through the use of the nursing process and clinical skills in accordance with Commission on Accreditation of Medical Transport Systems (CAMTS) standards and hospital policies
- Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards. (Individualized refers to the patient s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.)
- Collects and documents data related to patient s individualized care.
- Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients.
- Assesses patient/family need for education and uses an individualized approach in delivery style.
- Assess and interprets patient data upon arrival at the referring hospital.
- Performs reassessment based on unit standards, and changes in patient condition. Communicates changes to appropriate persons (MCP, NNP, partner, family) as indicated.
- Performs reassessments on transports after interventions and as needed. Communicates changes to transport NNP or medical control physician.
- Develops individualized patient/family plan of care using practice guidelines to meet identified needs. (Plan of Care includes current and anticipated actions focused on stabilization, care, and transport needs.)
- Utilizes assessment data from the referral hospital or team as well as transport assessment data to individualize patient care and transport needs.
- Utilizes individualized assessment data to develop the patient/family s plan of care.
- Revises plan of care based on patient s condition and transport conditions (weather, distance, mode.)
- Demonstrates ability to prioritize patient interventions based on assessments/reassessments.
- While on transport, develops and initiates a plan of care incorporating current and potential problems requiring intervention, expected response and the medical plan of care in collaboration with the transport NNP and/or the medical control physician. Communicates the plan to the receiving nurse prior to arrival at Children s Hospital or receiving facility.
- Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs.
- Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments.
- Demonstrates clinical competence in administering interventions according to identified standards and age specific needs.
- During the transport process, prioritizes and organizes care based on patient acuity, time limitations and consultation with transport NNP or medical control physician. Initiates action to prevent current or potential risk to a patient in an emergency situation.
- Documentation reflects accurate assessment/evaluation, modification, and patients response to therapy, changes in condition, and therapeutic interventions/procedures.
- Entries into in the electronic medical record follow transport documentation policy.
- Documentation is completed within established timeframes.
- Demonstrates responsiveness to the organizational functions of the transport process.
- Response Times are within targeted benchmarks set by the program.
- Complies with ambulance, helicopter, and fixed wing operational safety in accordance with current guidelines.
- Checks, cleans, and stocks transport bags and equipment. Ensures equipment is in good working order.
- Maintains all transport equipment in a state of mission readiness by checking all equipment at the beginning of each shift, noting any discrepancies and ensuring steps toward resolution.
- Cleans equipment and restocks bags after a transport.
- Demonstrates knowledge of transport equipment location, function and restocking procedures. Demonstrates the ability to troubleshoot all equipment and ensures that all malfunctions are promptly reported.
- Completes daily, weekly, monthly and ongoing equipment checklists.
- Completes quarterly competencies, monthly education, aircrew training, and other educational and professional development requirements when assigned.
- Perform physical requirements as described in the Physical Requirements section
- Completes Emergency Vehicle Operations training and maintains awareness of role in Emergency Vehicle Operations.
- Utilizes lights and sirens as per Children s Policy adhering to standard safety practices.
- Performs other duties as assigned
- Equally committed to patient care units, utilizing clinical skill sets and appropriate resources, delegating when appropriate. Professionally supports the assigned unit, as seen through interactions with patients, families, area staff, colleagues and others.
- Accepts assignment to mentor MD residents while on transport.
- Accepts assignment to precept EMT and paramedic students when scheduled.
- Accepts assignment to mentor participants in Transport Ride-a-Long program.
- Accepts assignments to share/teach knowledge and provide clinical support as a preceptor for new staff.
- Professionally seeks opportunities to help teammates during shift as needed.
- Accepts and completes other assigned tasks in a professional manner.
- Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills.
- Must be able to work in an environment which includes the use of ambulance, helicopter, and airplane patient transport vehicles that results in exposure to non-conventional motions, noise, vibration, fumes and extreme heat/cold.
- Bachelor s degree from an accredited school of nursing preferred, must be enrolled in a bachelors of nursing program.
- Minimum 3 year experience critical care required.
- Specialty certification required within two years of hire
FIT FOR TRANSPORT DUTY:
Physical demands and strength:
- Must be able to wear seat belts installed in transport vehicle.
- Must be able to lift and carry 50 pounds at least 100 feet.
- Must be able to perform multiple physical activities at the same time (i.e. carrying equipment while pushing a cot or incubator)
- Must wear flight suit appropriately at all times during shift.
- Must wear over the ankle boots at all times during shift.
- Must wear appropriate safety gear when indicated.
- Must be able to tolerate environmental extremes including loud noise and vibrations.
- Adherence to Transport Fit for Duty policy
- Transport team members may not donate blood within 24 hours of a work shift.
- Transport team members must complete a personal risk assessment at the beginning of each shift and adhere to policy related to results.
- Under no circumstances are transport personnel allowed to smoke or use smokeless tobacco products during the transport period.
- Any medical condition that may interfere with transport assignments must be reported to the Transport Manager.
- A signed statement from a personal physician must be submitted to the Transport Manager and Employee Health if a health condition develops that prevents the transport personnel from participating in the program.
- The pregnant transport person is not required to remain on active transport status any longer than she or her private physician feels she may safely do so.
- Current and valid Nebraska RN license/RN compact license required.
- Current and valid Basic Life Support (BLS) through the American Heart Association is required.
- Current and valid Pediatric Advanced Life Support (PALS) required, within 6 months of hire.
- Current and valid Neonatal Resuscitation Program (NRP) required, within 6 months of hire.
- Current and valid Advanced Cardiac Life Support (ACLS) required, within 1 year of hire.
- Current and valid Trauma Nurse Core Course (TNCC) or other CAMTS approved trauma certification course required, within 2 years of hire.
- Specialty Certification required within 2 years of hire.
- Must have valid driver s license with an acceptable motor vehicle driving record required.
Children's Hospital & Medical Center - Omaha