Job Summary:

Utilizing ICU/ED hospital experience, perform the duties of a clinician pursuant to the standards as set forth by company management and the Department of Health.

Summary of Essential Job Functions:

• Participation in shift crew briefings
• Accurate and timely completion of company time sheet
• Maintain proficiency and currency in conjunction with company training programs
• Perform pre and post-flight aircraft inspections to insure cleanliness and operability of medical and safety equipment according to NYSDOH regulations and MFC SOP
• Perform patient care according to company “Standards of Care” and NYSDOH guidelines
• Completion of annual clinical requirements
• Perform general housekeeping duties to insure cleanliness and functionality of work areas
• Timely completion of assigned “Shift Duties and Responsibilities”
• Participation in company Quality Management program
• 100% attendance at company meetings
• 100% adherence to quarterly skills requirement
• Accurate and complete collection of flight reimbursement information
• Accurate and complete patient care documentation
• Adherence to company policies and procedures

Scope of Practice:

• Upon completion of training, and with on line medical control for scene calls, advanced procedures for all patient populations may be performed. These skills include, but are not limited to, RSI, endotracheal  intubation, supraglottic airway , surgical airway, needle crics, NG/OG insertion, pericardiocentesis, chest decompression, ventilator management, IV, IO, blood administration, Foley insertion, and central line maintenance.
• Obtain subjective and objective patient data, utilizing a systematic rapid primary assessment and prioritized secondary approach.
• Formulization of care based on subjective and objective findings along with the working diagnosis.
• Initiation of prioritized, appropriate, and timely interventions based on Mercy Flight Central (MFC) care standards, standing orders, and/or on-line medical control.
• Evaluation of interventions performed, continual reassessment, evaluation and modification of care plan throughout patient transfer.
• Utilization of Medical control for deviations of MFC Standards of Care.
• Provide information, comfort, psychosocial and physical support to patient and family as appropriate.
• Prevent and/or decrease environmental stress exposure to the patient.
• Maintain professional communications and interpersonal skills with all members of the transport team and persons involved with the transport process.
• Thorough documentation of patient care according to MFC policy and procedure.
• Proper radio communications
• Complete flight debriefing, patient follow-up, and agency follow-up.
• Complete physician’s order sheet for procedures completed with on-line medical control via EMS Charts documentation.
• Maintenance of equipment and supplies
• Timely completion of shift duties
• Participate in Quality Management
• Teaching and public speaking
• Participate in research development, implementation, and evaluation.
• Other duties as assigned

Skills and Qualifications

• Minimum three years ED or ICU experience
• Certified Flight Registered Nurse (CFRN) within  one year of hire 
• Maintain proficiency and currency according to the standards of:
• American Heart Association (AHA),  
• American College of Surgeons (ACS),  
• American College of Emergency Physicians (ACEP),
• American Academy of Pediatrics (AAP)  
• New York State Department of Health (NYSDOH)
• Possess and maintain certification in:
• Advanced Cardiac Life Support (ACLS) or Advanced Cardiac Life Support for the Experienced Provider (ACLS-EP) 
• Pediatric  Advanced Life  Support  (PALS)
• Basic Life Support for the Healthcare Provider (CPR)
• Neonatal Resuscitation Program (NRP).  The employee must be certified or receive certifiication within one year of hire.
• Possess, or obtain within 90 days of date of hire certification in the following National Incident Management System (NIMS) courses:
• ICS-700
• ICS-100
• ICS-200
• Possess  and maintain, or  obtain  in accordance  with  Mercy Flight  Central  Policy, course completion in one of the following Advanced Trauma Care Courses:
• Advanced Trauma Life Support (ATLS) Course Audit
• Advanced Trauma Care for Nurses (ATCN)
• Transport Professional Advanced Trauma Course (TPATC)
• Maintain License / proficiency according to state and local standards:
• NYS EMT-Basic or higher within 1 year of employment
• NYS RN Licensure

Physical Requirements:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job; reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
• Must be able to sit for extended periods of time in uncomfortable conditions
• Must be able to regularly stand; walk; sit; use hands; reach with hands and arms; climb or balance; stoop, kneel, crouch or crawl; and talk or hear
• Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, ability to adjust focus, and ability to see color
• Must be able to lift at least 50 lbs. unaided
• Must be able to endure long periods of adverse flight conditions, including, but not limited to: extreme temperatures, prolonged discomfort, and aircraft turbulence
• Must be physically able to crawl in and out of the aircraft unaided, walk at least ¼ mile carrying 50 lbs. of equipment, and must be able to securely fasten all required aircraft restraints
• Employee’s weight shall not exceed 240 pounds, inclusive of flight suit, appropriate foot gear and helmet