Apr 09, 2020

Critical Care Transport Nurse (Ground & Flight)

  • Children's National Medical Center
  • Washington, DC, USA

Job Description

Critical Care Transport Nurse (Ground & Flight) - (1900020D)

Description

The Transport Team Nurse will provide safe and effective inter-hospital transport of a wide variety of pediatric patients. Will be responsible for the initial assessment, stabilization, and provision of diagnostic and therapeutic interventions while on transport. Transports usually take place using a ground ambulance, but may also occur using rotary-wing (helicopter) or fixed-wing air transport. Supports Patient Care Services and the Emergency Medicine and Trauma Center (EMTC) by establishing and maintaining constructive departmental and inter-organizational relationships. Ensure optimal use of joint resources through collaboration with the Neonatal Transport Team.

Children’s National Health System is the only hospital in the Washington, D.C., metropolitan area with a rapid air and ground transport system dedicated exclusively for neonates, infants, children, and adolescents. Our highly specialized pediatric and neonatal transport team transports more than 5,000 neonates and children each year.

The Division of Transport Medicine is ready to dispatch its resources to referring facilities at a moment’s notice by either ground (ambulance) or air (helicopter).

When it comes to Critical Care Medicine, Emergency Medicine and Trauma Services, getting support where and when you need it is everything. When your child needs urgent care at Children’s National, we are ready to dispatch our pediatric and neonatal ground teams at a moment’s notice.

As the region’s primary transport medicine specialists, we provide critical treatment as soon as possible, even on the go. Our physicians, nurses, paramedics, respiratory therapists, and emergency medical technicians (EMT) are specially trained in transport medicine for kids. Plus, all of the transport teams work with pediatric-sized equipment. This customization minimizes the risk to patients in transit to Children’s National.

All nursing practice is based on the legal scope of practice, national and specialty nursing standards, CNMC Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. CNMC supports the development of RN relationships within the community; specifically those relationships associated with the health and well-being of the community at large.


Qualifications

Minimum Education
BSN

Specific Requirements and Preferences
School of Nursing (Required)

Minimum Work Experience
3 years in Pediatric Transport or high acuity Pediatric ED or ICU


Specific Requirements and Preferences
Related and progressive nursing experience (Required)
Pediatric critical care or pediatric emergency care experience. (Required)
A wide variety of clinical experiences (Preferred)

Required Skills/Knowledge
Clinical expertise, problem-solving, and independent decision making skills.
Ability to perform accurate medication dosing calculations under time sensitive situations.
Excellent interpersonal and communication skills.
Maintain skills and proficiency with the use of information technology.
Maintain excellent physical and mental health with no limitations.
Must be able to withstand the physical and emotional stresses of transport, including but not limited to altitude change, temperature extreme, vibration, noise, and confined spaces.
Demonstrates competence in required procedures in accordance with established practice guidelines.
Demonstrates advanced leadership and management skills.
Demonstrates cost containment by identifying practices that affect Service Area’s cost effectiveness.

Functional Accountabilities

Patient Assessment
1. Anticipates patient needs and secures proper equipment and personnel for transport.
2. Assess stable and critically ill neonates/children thoroughly on arrival at referring hospital and throughout transport.
3. Anticipates clinical problems associated with patients individual diagnosis, makes appropriate preparations to deal with anticipated or potential problems during transport.
4. Assess parent/child’s learning needs at the time of transport and communicate these to admitting nurse.

Patient Plan of Care
1. Formulate care plan for transport; continuously reassess patient and make appropriate changes to plan based on patient response;
2. Ensure the safe transport of critically ill & convalescing infants between CNMC, community hospital or to an alternate site.
3. Provide for the safe transport of patients and team members by adhering to established transport procedures including regular air transport training and certification.
4. Communicates with referring hospital and CNMC staff to ensure smooth transition of care and appropriate family involvement.
5. Report care giver’s response to transport to receiving staff.
6. Document appropriately according to hospital standards.

Evaluation of Plan of Care
1. Determine the effectiveness of all interventions and make revisions as necessary .
2. Individualize problems on care plan, adapting nursing interventions to obtain optimum patient outcome.
3. Review the process of back transfer planning for all patients and make appropriate arrangements for transfers.

Patient Triage
1. As assigned performs call intake and documents clinical information.
2. Contacts admitting physician or subspecialists as needed to determine plan of care and disposition per call intake algorithm or Medical Command Officer (MCO) request.
3. Consults with MCO to confirm priority, team configuration and mode of transport.
4. Communicates and documents the treatment and transports recommendation to the referring hospital.
5. Coordinates call dispatch with the MCO and Communication Center.

Organizational Accountabilities
Organizational Commitment/Identification
1. Partner in the mission and upholds the core principles of the organization
2. Committed to diversity and recognizes value of cultural ethnic differences
3. Demonstrate personal and professional integrity
4. Maintain confidentiality at all times

Customer Service
1. Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication
1. Demonstrate collaborative and respectful behavior
2. Partner with all team members to achieve goals
3. Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving
1. Contribute to a positive work environment
2. Demonstrate flexibility and willingness to change
3. Identify opportunities to improve clinical and administrative processes
4. Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility
1. Use resources efficiently
2. Search for less costly ways of doing things

Safety
1. Speak up when team members appear to exhibit unsafe behavior or performance
2. Continuously validate and verify information needed for decision making or documentation
3. Stop in the face of uncertainty and takes time to resolve the situation
4. Demonstrate accurate, clear and timely verbal and written communication
5. Actively promote safety for patients, families, visitors and co-workers
6. Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Primary Location

: District of Columbia-Washington

Work Locations

: Sheikh Zayed Campus 111 Michigan Avenue Washington 20010

Job

: Nursing

Organization

: COE Hospital-Based SpecliatiesRegular / Temporary: R (Regular)Position Status: FT - Full-TimeShift: VariableWork Schedule: Variable

Job Posting

: Sep 23, 2019, 10:41:42 AM