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 |
| |
|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. |
| |
|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. |
| |
|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. |
| |
|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 |
| |
|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. |
| |
|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. |
| |
|Collaboration: |
| |
|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. |
| |
|Education: |
| |
|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. |
| |
| |
|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. |
| |
|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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