JOB DESCRIPTION FOR JOB TITLE:



|RN – Critical Care Transport |

|Job Code: 800019 |FLSA Status: Non-Exempt |Mgt. Approval: F. Erdman |Date: 01.2019 |

|Department: Helicopter Critical Care Service/5704 |HR Approval: M. Buenger |Date: 01.2019 |

|JOB SUMMARY |

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|UW Med Flight critical care transport service, sponsored by UW Health, is a regional resource providing critical care during rapid transport of patients 24 hours per |

|day. Each transport is staffed by a flight physician and critical care transport nurse who care for all types of medical emergencies in all patient age groups |

|including, but not limited to, multiple trauma, burns, acute cardiac conditions, and head and spinal cord injuries. |

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|The Registered Nurse – Critical Care Transport (RN) systematically and continuously collects and assesses data in collaboration with the multidisciplinary team to |

|provide therapeutic care for the patient and/or family. He/she performs all required elements of nursing assessment including but not limited to physical examination, |

|assessment of readiness to learn, psychosocial assessment, functional assessment and utilization of patient/family specific assessment scales as required. The RN is an|

|active member of the multidisciplinary team and collaborates in the development, execution and evaluation of the multidisciplinary plan of care or critical pathway. |

|The RN considers factors related to safety, effectiveness and cost in planning and delivering care. Decisions and actions made by the RN are determined in an ethical |

|manner with the patient and/or family. |

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|The RN establishes goals and strategies for meeting the continuing care needs of the patient, family, and/or other care provider. The RN provides care in collaboration|

|with other nursing staff member; he/she delegates and supervises care in accordance with nurse practice acts and the professional nursing role. |

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|The RN utilizes research findings in his/her practice, demonstrates knowledge of and participates in Improving Organizational Performance activities, acquires and |

|maintains knowledge in the nursing practice, and assumes responsibility for the professional development of self, other nursing staff and students. |

|MAJOR RESPONSIBILITIES |

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|Clinical Practice/Quality of Care: |

|Establishes an in-depth database by assessing the behavioral and physiological status of the patient utilizing interview, observation, physical examination, and other |

|available data. |

|Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes. |

|Provides assessment and appropriate interventions to stabilize the patient in preparation for transport. |

|Implements safe, competent, and efficient patient care within policies, procedures and standards, and interventions as noted on the multidisciplinary plan of care. |

|Sets priorities for patient care in response to data indicating urgent and/or emergent risk to patient; initiates action to reduce or correct risk. |

|Evaluates effectiveness of teaching interventions, patient/family level of understanding and adjusts teaching and plan of care accordingly. |

|Assumes responsibility and accountability for effectively managing nursing care of patients. |

|Documents a comprehensive and integrated approach to patient care. |

|Evaluates patient responses to care based on effectiveness of nursing interventions/actions in relationship to established outcomes and consults with Medical Staff, |

|Care Team Leader, Case Manager, and/or Nurse Practitioner regarding clinical variances and recommended changes to the plan of care. |

|Identifies learning needs of patients/families and teaches by adapting standard information to provide individualized and comprehensive teaching-learning. Utilizes the|

|resources of the Teaching-Learning Center as appropriate to meet identified patient, family and/or caregiver needs. |

|Communicates any special patient or family needs or circumstances to the admitting unit. |

|Provides follow-up calls, letters, updated status reports, and admitting information to referring personnel in accordance with HIPAA regulations. |

|Provides back up support to the ED in times of high acuity or high census. |

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|Resource Utilization: |

|Contributes to and supports the effective management of the unit. |

|Incorporates standards of practice, clinical practice protocols, etc. into practice in order to maximize clinical effectiveness. |

|Acts to facilitate cost control in use of material resources. |

|Acts to facilitate cost controls in use of human resources. |

|Effectively utilizes technology to support practice and efficiencies in care delivery. |

|Implements practice protocols dependent on practice setting including sitter decision tree and support surface decision protocol. |

|Plans interventions and evaluates patient response based on expected outcomes identified on the critical pathway or multidisciplinary plan of care to facilitate |

|transition to home or continuing care; ensure a timely patient discharge. |

|Uses WARDS, AMS AeroMed or other clinical information systems to enter and access clinical information. |

|Identifies opportunities and participates in evaluations designed to measure the impact of new products and technology on patient outcomes or enhancements to the |

|patient care delivery process. |

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|Collaboration: |

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|Initiates multidisciplinary collaboration with the patient care team including Transport Physician, RT, Clinical Nurse Manager, and other partners |

|Initiates steps to support and enhance the patient’s responsibility and self- determination in decision-making concerning health, treatment and well-being. |

|Develops, maintains, and terminates therapeutic relationships with patients and families. |

|Participates as leader or active member of unit and/or department shared governance council and attends and participates in 50% of staff meetings. |

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|Education: |

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|Evaluates own performance and that of peers and other nursing staff in relation to standards. |

|Demonstrates an awareness of elements in own performance needing further development and seeks opportunities to improve. |

|Contributes to the learning experiences of students in cooperation with the instructor and other staff. |

|Serves as a preceptor. Works directly with new employees to ensure appropriate orientation to the unit. |

|Assists in orientation, instruction, direction, and evaluation of students assigned to the unit. |

|Maintains appropriate specialty certifications and UW Health mandatory education requirements. |

|Shares knowledge gained through participation in continuing education activities. |

|Participates in safety training and follow-up for pre-hospital and referring personnel. Active in public relations events including tours, training and other |

|activities. |

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|ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE UW HEALTH PERFORMANCE STANDARDS. |

|JOB REQUIREMENTS |

|Education |Minimum | |

| |Preferred |Bachelor’s degree in nursing |

|Work Experience |Minimum |Three (3) years of recent experience in air medical transport or three (3) years of recent experience in ICU |

| | |or |

| | |Five (5) years of experience in an Emergency Department or |

| | |Five (5) years of combined ED and ICU experience |

| |Preferred |Patient transport experience. |

| | |Air medical transport experience. |

| | |EMS experience. |

|Licenses & Certifications |Minimum |Licensed RN in the State of Wisconsin. |

| | |CPR certification. |

| | |ACLS certification. |

| | |PALS certification. |

| | |Must attain one of the following within 18 months of hire: CEN, CCRN, RNC, CFRN or CTRN |

| |Preferred | |

|Required Skills, Knowledge, and Abilities |Demonstrates technical ability, understanding of job expectations and compliance with organizational policies |

| |and procedures |

| |Demonstrates knowledge of UW Health care delivery system as multidisciplinary and multifaceted with a variety |

| |of entry and access points along the care continuum |

| |Possesses an in-depth knowledge base and skills related to the care of neonatal, pediatric and adult patients |

| |during either air medical or ground ambulance transport |

| |Possesses knowledge of the principles of growth and development for the appropriate age group(s) |

| |Demonstrates effective delegation and supervision of other nursing team members. |

| |Demonstrates trust, respect, honesty, and caring attitudes with patient/families and other members of the |

| |health care team |

| |Ability to obtain knowledge regarding quality improvements and standards of care within practice area. |

| |Skilled at quickly building rapport with friends and family of patients by responding to their needs in a |

| |calm, courteous, and professional manner. |

| |Communicates effectively demonstrating tact and diplomacy. |

| |Ability to effectively delegate and supervise the work of other nursing team members. |

| |Demonstrates knowledge of research findings and IOP activities relevant to specialty area |

|AGE SPECIFIC COMPETENCY (Clinical jobs only) |

|Identify age-specific competencies for direct and indirect patient care providers who regularly assess, manage and treat patients. |

|Instructions: Indicate the age groups of patients served either by direct or indirect patient care by checking the appropriate boxes below. Next, |

|X |Infants (Birth – 11 months) |X |Adolescent (13 – 19 years) |

|X |Toddlers (1 – 3 years) |X |Young Adult (20 – 40 years) |

|X |Preschool (4 – 5 years) |X |Middle Adult (41 – 65 years) |

|X |School Age (6 – 12 years) |X |Older Adult (Over 65 years) |

|JOB FUNCTIONS |

|Review the employee’s job description and identify each essential function that is performed differently based on the age group of the patient. |

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|PHYSICAL REQUIREMENTS |

|Indicate the appropriate physical requirements of this job in the course of a shift. Note: reasonable accommodations may be made available for individuals with |

|disabilities to perform the essential functions of this position. |

|Physical Demand Level |Occasional |Frequent |Constant |

| |Up to 33% of the time |34%-66% of the time |67%-100% of the time |

| |Sedentary: Ability to lift up to 10 pounds maximum and occasionally |Up to 10# |Negligible |Negligible |

| |lifting and/or carrying such articles as dockets, ledgers and small | | | |

| |tools. Although a sedentary job is defined as one, which involves | | | |

| |sitting, a certain amount of walking and standing is often necessary | | | |

| |in carrying out job duties. Jobs are sedentary if walking and | | | |

| |standing are required only occasionally and other sedentary criteria | | | |

| |are met. | | | |

| |Light: Ability to lift up to 20 pounds maximum with frequent lifting |Up to 20# |Up to 10# or requires |Negligible or constant |

| |and/or carrying of objects weighing up to 10 pounds.  Even though the | |significant walking or |push/pull of items of |

| |weight lifted may only be a negligible amount, a job is in this | |standing, or requires |negligible weight |

| |category when it requires walking or standing to a significant degree.| |pushing/pulling of arm/leg | |

| | | |controls | |

| |Medium: Ability to lift up to 50 pounds maximum with frequent |20-50# |10-25# |Negligible-10# |

| |lifting/and or carrying objects weighing up to 25 pounds. | | | |

|X |Heavy: Ability to lift up to 100 pounds maximum with frequent lifting |50-100# |25-50# |10-20# |

| |and/or carrying objects weighing up to 50 pounds. | | | |

| |Very Heavy: Ability to lift over 100 pounds with frequent lifting |Over 100# |Over 50# |Over 20# |

| |and/or carrying objects weighing over 50 pounds. | | | |

|List any other physical requirements or bona fide occupational qualifications:| |

Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.

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