0.9FTE, 36 hours per week
Rotating shifts, weekend, holiday, and on call requirement
Non-exempt, benefits eligible
Provides direct care and patient care management on transport; implements and evaluates the stabilization and emergency care of the acutely ill neonate, infant, child, adolescent, and adult. Educates referral staff through formal and informal teaching as well as planned educational conferences. (Rules 4723-4-01; 4723-2-07; 4723-4-06 Ohio Administrative Code (OAC).Demonstrates competence defined in transport clinician responsibilities in providing age-appropriate care and service to patients from the age of birth to 21 years, and selected adults. (Rule 4723-4-03 OAC).
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1. Assumes the defined responsibilities and functions of a Transport Clinician.
a. Collaborates with other team members in the management of the acutely ill neonatal, pediatric, adolescent, or adult patients.
b. Demonstrates leadership ability; accepts responsibility and accountability for all decisions and actions.
c. Demonstrates rapid decision-making skills and the ability to use sound judgment.
2. Plans and directs the activities of the transport team in accordance with established written guidelines, policies, and procedures of Nationwide Children's Hospital and the Transport Program.
3. In conjunction with the Physician Consult Transfer Center (PCTC) and NCH Dispatch, organizes rapid transport mobilization and assures appropriate utilization of resources.
4. Performs and properly documents complete physical assessment; obtains and records medical-family history; formulates a clinical problem list, and plans care to meet all patient/family needs.
5. Using evidence based practice to improve care; stabilizes the acutely ill neonate and child in the referring center through assessment, planning, intervention, and evaluation of care. Obtains consultation with the medical control physician as per written protocols.
6. Performs treatments and procedures in accordance with the written guidelines and policies of the Transport Program within the framework of the policies, procedures, and standards set forth by Nationwide Children's Hospital and the Division of Patient Care Services. With documented training, competently performs stabilization and resuscitation of the critically ill neonate and child utilizing the following specialized procedures:
b. peripheral arterial puncture
c. endotracheal intubation
d. umbilical vessel catheterization
e. needle thoracotomy
f. mechanical ventilation
g. intraosseous access
h. management of advanced ventilator skills and equipment.
7. Administers medication in accordance with the policies and procedures of Nationwide Children's Hospital and in accordance with the written protocol for administration of medications on transport.
8. Provides continuous monitoring of the patient per protocol during transport.
9. Maintains documentation of patient assessment and condition, interventions required, and communication processes on the transport record.
10. While on transport, initiates direct phone communications (per guideline) between the transport team and the medical control physician to report and discuss clinical assessment and patient status, stabilization interventions, and potential or presenting complications.
11. Providing Family Centered Care, crisis intervention, support, and education to the family of the critically ill neonate, infant, child, adolescent or adult.
12. Maintains equipment and supplies necessary to the transport system, including routine maintenance and cleaning.
13. Functions as a resource to referral staff, Nationwide Children's Hospital staff, and the community.
14. Identifies referral hospital education needs and helps to meet these education needs through informal and/or formal teaching.
15. Identifies system problems for research and assists in research activities of the transport program.
16. Continually evaluates methods of practice; recommends changes and modifications of protocols to meet patient needs.
17. Actively participates in the unit committees and projects to assure daily operation and growth of the Transport Program.
18. Establishes professional objectives, evaluates self and peers, and shares progress with the Transport Program Manager.19. Attends and actively participates in monthly staff meetings.
20. Actively participates in the hospital based committees and projects.
21. Successfully completes skills and recertification requirements.
22. Certifications required: BLS, NRP, PALS, ACLS, and trauma course prior to completion of orientation.
23. Successful completion of NCH Critical Care drug test and IV Opioid, Hypnotic, Sedative, and Anticonvulsant test prior to completion of orientation.
24. Attends neonatal and pediatric educational opportunities designed for/or relevant to transport personnel.
25. Actively pursues own professional growth through attendance at conferences, educational activities, and through continual review and sharing of professional experiences.
26. Must obtain advanced certification within one year of completing orientation that is specific to the program's patient population
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
1. Registered Nurse with current license to practice nursing in the State of Ohio.
2. Bachelor of Science Degree in nursing required or actively seeking BSN.
3. Successful completion of the Transport Training Program.
4. Experience Requirement for Applicants
a. Minimum of 3 years of critical care experience with minimum 1 year neonatal intensive care preferred.
b. Stipulation of an additional 40 hours of critical care experience in the Emergency Department, 40 hours of experience in the PICU, and/or 80 hours of experience in the NICU is required during the transport preceptorship for applicants.
c. After orientation, you must maintain a point status of 0.9 FTE for 1 year after orientation.
5. Demonstrates self-motivation, sensitivity, leadership, interpersonal skills, teaching ability, organization, and advanced level of critical thinking and decision-making.
6. Demonstrates excellent verbal and written communication skills.
7. Demonstrates ability to work under stress using sound judgment.
8. On call hours required.
MINIMUM PHYSICAL REQUIREMENTS
1. Adheres to flight/safety requirements of the Transport Program and all service providers.
2. Must be able to independently lift up to 165 lbs. and pull/push 300 lbs. isolette with assistance.
3. Must be able to see, hear, stand, walk, read, and perform manual task with or without accommodation; and care for oneself with little or no difficulty.
4. Must be able to move or reposition patients of any weight or size with assistance of another person(s) and or equipment.
5. Must not exceed body weight with full uniform greater than 230 pounds (flight regulations).
6. Must pass a Fit for Duty Test upon hire, annually, and before returning to work from a leave of absence or FMLA.
Walking/standing frequently (34-66%), riding/flying long distances frequently (34-66%), lifting/moving occasionally (0-33%), pushing/pulling occasionally (0-33%), talking in person & on phone frequently (34-66%).
The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision.