On Call Critical Care Transport Nurse

Description

Job purpose:

Transfers and transports patient’s requiring Specialty Care as defined by COMAR and MIEMSS Protocol. Prepares comprehensive documentation reporting all aspects of the transport in preparation for billing purposes, clinical review, and general archiving. Performs procedural or pharmacological intervention within their scope of practice (Defined by MIEMSS Protocol) and prepares documentation related. Position requires periods of strenuous physical exertion with periods of sitting for potentially extended duration.

 Nurses who work in critical care transport will often work as part of a team along with a Paramedic and Emergency Medical Technician. Nurses will assess patients and provide emergency care to stabilize the patient while they are being transported. Stabilization will involve monitoring vital signs, administering medication and providing other emergency care as needed. Critical care transport nurses work under the direction of a physician, which means they have standard orders and protocols they can perform without the doctor being present. 

Requirements

Key responsibilities and accountabilities:

• This is an on call position, with an hourly on call rate and a per call bonus when called in for the transport. 
• Maintain a clean and professional physical appearance consistent with Procare policy related to employee uniforms and appearance.
• Maintain any Licensure and certification related to the ability to practice as a Maryland Registered Nurse (Including, but not limited to: CPR, ACLS.
• Maintaining ambulance and equipment. Ensure that vehicle, supplies, and equipment are in proper working condition to transport patients in compliance with applicable laws, rules, and regulations.
• Provides intensive care monitoring, critical care intervention and advanced surgical skill procedures to critically ill and injured neonates through geriatric age groups.
• This includes the management of high-risk obstetrical, medical, surgical, respiratory and cardiovascular patients. The specialized training of the RN- Critical Care Transport Nurse Specialist allows for the provision of care to critically ill and injured patients through the use of ventilatory support, continuous cardiac and hemodynamic monitoring, including intra-aortic balloon and other cardiac assist devices.
• Responsible for advanced emergency and critical care patient management during air and ground transport of the critically ill or injured patient from the scene or outlying sites to participating secondary and tertiary care institutions.
• Ability to utilize ALS/SCT equipment appropriately, including IV transport pump, transport ventilator, and cardiac monitor.
• Maintain the cosmetic appearance of assigned ambulance and complete vehicle and supply checks daily as required by MIEMSS and Procare policy. Report any mechanical deficiencies to the Communications Center.
• Maintain equipment necessary for the application of basic life support as outlined by company policy and MIEMSS regulated equipment/supply standards. Report any equipment or supply deficiencies immediately to the Communications Center.
• Working as a team to complete all transport requests safely and timely.
• Complying at all times with uniform policy, always looking and behaving professionally.
• Complying with all policies and procedures, including the holdover policy.
• Must be familiar with Maryland Medical Protocols for EMS providers.
• Communication, cooperation and collaboration with the Communications Center.
• Ability to work nights, weekends, or holidays.
• Knowledge of road safety and navigation in the areas we serve.
• Assemble paperwork necessary for the transfer of patient care. Accurately, honestly, and comprehensively record all pertinent information on required RN documentation.
• Documentation shall include reason/explanation of medical necessity for ambulance transport. It should include how the patient was put onto the stretcher, all diagnosis, medical history present condition, and interventions.
• All related signatures must be obtained for each patient care record in accordance with Medicare signature requirements, including explanation of why patient is unable to sign, if applicable. Said documentation shall be completed immediately but in no event later than the end of the applicable shift.
• Obtain verbal report from facility staff passing on patient care to you and obtain transfer or discharge summary.
• Provide verbal report to facility staff when passing patient care on to another individual and obtain appropriate signature.
• Must follow all Procare's policies and procedures as referenced in Procare's Employee Handbook. As such, each employee is required to communicate via the email address provided, read all electronic communications from management, and check memo postings at each office, for written directives, policy changes at the start of every shift.
• Must make safety the paramount priority of their employment with Procare. Must follow all safety practices in accordance with existing policies and procedures. Report any safety concerns immediately.
• Attend and complete any required training or continuing education mandated by Procare. Annual training is mandatory.
• Must follow the Chain of Command and report issues to the Communications Center.
• Represent Procare in a positive light at all times and treat peers, patients, clients and the general public in a professional and courteous manner.
• Follow all applicable laws, rules, and regulations in all aspects of the job.
• Any other assignments or duties assigned by management.