Critical Care Transport Clinical Nurse Specialist; RN

General Summary of Position

Delivers expert nursing care in helicopters and ambulances to patient and family whose needs range from uncomplicated to highly complex. Receives direct supervision from the Operations Managers, May at times receive functional supervision from the VP Director, AVP Clinical Operations, and Medical Director. Must maintain a weight not to exceed 250 pounds in gear. Required to work in confined space with exposure to extreme temperatures, vibration and altitude;

and to stand for extended periods of time. Required to physically lift and transfer patients, and lift and move equipment used for patient care and other sensory facility to provide patient care. Communicates directly and uses aircraft headsets, radios and telephones with patients, physicians, and other staff in emergency and daily patient care activities. May be exposed to personal safety hazards in both air and ground transport.

• Delivers expert patient care in helicopters and ambulances to multiple patient types including scene work, adult subspecialties, pediatrics, and high-risk obstetrics. Assesses patient care needs, establishes priorities and delegates tasks to peers and ancillary support staff as appropriate.
• Assesses the needs of patients with highly complex problems. Identifies current and potential complex problems, critically analyzes trends and changes in patient status, and plans appropriate interventions directly or indirectly through other nurses and paramedics
• Performs basic and advanced airway techniques and treatment modalities, including oxygen therapy, airway maintenance, assisted ventilation, insertion of supraglottic airways, nasal and orotracheal intubation, rapid sequence pharmacological induction to facilitate intubation, surgical cricothyroidotomy, and needle thoracostomy.
• Administers and maintains pharmacologic agents and intravenous fluids at the scene and during inter-hospital transfer.
• Monitors and evaluates invasive and non‑invasive techniques/procedures and their therapeutic effects, including the monitoring and operation of the intra‑aortic balloon pump (IABP), Ventricular Assist Devices (VAD), and intracranial monitoring devices during transport. Troubleshoots these devices, recognizes problems, and makes necessary corrections. Recognition and intervention of abnormal parameters includes potentially lethal cardiac dysrhythmias requiring electric cardioversion and defibrillation.
• Performs a variety of clinical duties including, but not limited to: insertion of nasal and oral gastric tubes and management of autologous blood transfusion systems. Initiates and maintains venous access and intraosseous lines.
• Obtains patient information, including detailed reports, when appropriate, and disseminates all necessary information to appropriate medical staff, per protocol.
• Responsible for monitoring and recording all patient data and completion of all appropriate clinical documentation in a timely manner.
• Maintains program readiness and ensure cleanliness and appropriate par levels of supplies used by MedSTAR Transport. Ensures helicopter or ambulance readiness with daily review of equipment and supplies and records findings on daily vehicle checklists.
• Ensures system readiness post‑transport. Ensures that par stock levels of equipment at remote bases are maintained and informs MedSTAR leadership of supply needs, as necessary.
• Establishes and maintains professional radio communications with MedSTAR Communications Center and all other agencies, adhering to all FCC protocols.
• Supports regulatory requirements, inspection readiness (e.g., DC Health, TJC, MIEMSS, CAMTS, etc.) and other identified quality metrics.
• Ensures safe operations during transport‑related activities. Assists with helicopter safety training as directed by pilot in command. Also ensures safe operations during ambulance related activities in coordination with Emergency Vehicle Operator.
• Evaluates and documents risks and hazards on all transports and in in daily operations in conjunction with current risk assessment and reporting tools as part of the Safety Management System.
• Acts as safety officer…