• Responsible for independently providing patient care and education through the nursing process to assigned transport patient population(s) while ensuring safe and effective transport as described in the Medical Protocols / Standing Orders.
• Establishes supportive relationships with patients, significant others and other members of the health care team through the use of positive interpersonal skills.
• Provides support for administrative activities.
• Responsible to collaboratively assess, provide and evaluate patient care within the aircraft, airport, commercial airline, ground ambulance or within the hospital or clinic setting for assigned patients in conjunction with all members of the health care team.
• The respiratory therapist must abide by the policies and procedures outline in this manual at all times while representing AMI.
• The therapists must have a valid therapist license and/or credentials and required number of years of critical and/or acute care experience in the area appropriate to patient population(s) to be transported.
• The therapist must be able to work in all types of climates.
• He/she should present a well‐groomed and neat appearance.
• Transport paramedic who staff international transports must obtain a passport and international immunizations.
o Maintain current licenses and certifications defined in the job description for the position held
o Maintain appropriate expertise and certification for age specific populations in which they provide care.
o Maintain currency in required in‐services, such as Aircraft Safety, AMRM, Altitude Physiology, Stress Recognition and Management, and Skills Competency Lab.
o Obtain the appropriate respiratory equipment
o Check oxygen levels of the tanks on the stretcher, stretcher base, and LOX tanks accordingly.
o Replace stretcher e‐cylinders if PSI less than 1000, and will coordinate service of LOX and/or base MM cylinder to full capacity prior to departure.
o Confirm O2 has a PSI of 50 at minimum.
o Confirm suction has 120mm pressure at minimum.
o Check the pulse oximetry monitor for proper calibration.
o Prior to departure, check the connections in the oxygen system onboard the aircraft to confirm there are no leaks and all connections fit.
o Ensure that a PEEP bag is onboard the aircraft and in good working order.
o Provide respiratory care during the entire transport, making appropriate adjustments for altitude when applicable and document care, ventilator settings, interventions, changes in patient status, pulse oximeter measurements, EtCO2 as applicable, ABG results and all other aspects of the patient’s respiratory assessment and status per the documentation protocols.
o On international transports, the entire medical crew will visit the patient upon arrival to discuss logistic plans and to provide information.
o Restock aircraft and medical supply pack with supplies from the storeroom at the end of the transport and/or assigned shift.
• Use written and verbal communication to maintain quality patient care, to enhance team interaction and to promote the goals and objectives of the AMI transport program.
• Uses positive interpersonal techniques to establish and maintain therapeutic relationships with patients, family, and other personnel.
• Collaborate with the patient and other health team members in identification of problems/ needs and plan of care.
• Reassess problems / needs and their priority as the patient’s condition changes and communicates them to the receiving nurse.
• Implement the plan of respiratory care in collaboration with the RN and/or MD.
• Use current knowledge of the sciences and AMI medical transport, as well as competent psychomotor skills in carrying out interventions.
• Incorporate current respiratory information and research findings into practice.
• Provide safe care in a manner preventing complications and life threatening situations to the patient.
• Implement the plan of care in collaboration with the patient and other health team members as explained to the patient.
• Follow recognized respiratory care standards in the provision of patient care.
• Support the patient’s right to participate in his care.
• Document assessments and interventions in the patient’s transport record no less than every 2 hours on long‐range and/or international transports if patient’s condition is stable.
• Follow physician’s orders if physician present during flight and will sign off orders as completed.
• Implement care as defined in Medical Control Standard orders if physician not staffing transport.
• Continuously evaluate the effectiveness of provided care.
• Compare the patient’s condition to the expected goal, attempt to determine the cause of any significant differences between the two and revise the plan of care accordingly.
• Collaborate with the patient and other health team members in the evaluation process.
• Document findings in the patient’s transport record and communicate to the receiving medical professionals.
• Performs other duties as assigned
• Must hold current passport for unrestricted travel.
• Minimum of three years’ experience in critical and/or acute care setting.
• Recommendation from appropriate supervisory personnel.
• Current certification in CPR and other population specific advanced certification, such as Advance Cardiac Life Support, Pediatric Advanced Cardiac Life Support, and Neonatal Resuscitation Program.
• Successful completion of the Trauma Nurse Core Curriculum (TNCC) an advanced trauma certification (audit ATLS or completion of TNATC).
• Successful completion of the [COMPANY NAME] Transport Program orientation.
• Successful completion and currency of nationally recognized certification of specialty recommended for contract therapists and required for employed therapists within two years of hire date, e.g. NPC, ACCS, etc.
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