NICU Flight Nurse Per Diem

## Description

## 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.

## Qualifications

**Qualifications**

To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with applicable laws, REVA will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the essential functions of the position.

• 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 that the position is required to travel.
• 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.
• Nursing certifications (i.e., CEN, CCRN, and especially CFRN) are strongly encouraged.
• Supplies current licensure and/or certifications on a continual basis. Employees are responsible for maintaining active RN License.
• Paramedic certification is strongly encouraged.
• Expected to answer phone while on call.
• 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)**

**Skills**

• Effective oral and written communication skills.
• Demonstrates a commitment to Mission and Vision through consistent patterns of work behavior, exhibiting positive relations with coworkers, as well as internal and external clients, and promoting professional representation of the program and associated activities
• Maintains respect and open communication with all members of the transport team Reva, Inc.’s staff as well as internal and external clients
• Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm
• Commitment to excellence and high standards.
• Ability to learn new equipment and procedures as required.
• Ability to learn new equipment and procedures as required.
• Ability to work in adverse environments.
• Commitment to excellence and high standards.
• Sound clinical decision-making skills.
• Strong problem-solving and organization skills.
• Ability to exercise sound judgment and make decisions in a manner consistent with the essential job functions
• Ability to prepare written reports and correspondences, and presentations to senior leadership
• Knowledgeable of all medical department processes, policies, and protocols.

**Computer Skills**

• Proficient with Microsoft Office including but not limited to: Outlook, PowerPoint, Excel, Word, and Teams.
• Proficient with ESO Charting Software.

**Certificates, Licenses, Registrations**

• Active unrestricted (RN) License
• Required to maintain the following certifications: ACLS, BLS, PALS, NRP, PHTLS
• Strongly encouraged to have one of the following advanced specialty certifications: Certified Flight Registered Nurse (CFRN), Certified Transport Registered Nurse (CTRN), Critical Care Registered Nurse (CCRN), Certified Emergency Nurse (CEN).

**Competencies**

• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
• Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
• Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values
• Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity
• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
• Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
• Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals. Completes tasks on time or notifies appropriate person with an alternate plan.