Critical Care RN- Interfacility Transport Team (IFT) (FT- 1.0 FTE, Variable Shift)

The Critical Care Transport Registered Nurse (CCTRN) will provide advanced interfacility patient care in a prehospital setting ranging from initial contact until care is relinquished at the accepting medical facility. The CCTRN maintains thorough patient care documentation of assessment and intervention throughout the entire transport and will practice within the scope of protocol as defined by Bozeman Health Emergency Services. The CCTRN will demonstrate proficient clinical knowledge and competency of clinical skills during transport and will maintain active participation meeting organizational expectations with ongoing advanced skills laboratories, hand-on clinical exercises and clinical rotations through various units including the Emergency Department and Intensive Care Unit. The CCTRN will act as a clinical role model and resource to resolve complex situations and patient care issues. The CCTRN will participate in improvement activities and problem-solving projects as assigned by the leadership team and communicate any safety concerns to the leadership team. Further, the CCTRN will serve as a lesion for critical access community hospitals with a high emphasis on educational needs of those communities Bozeman Health partners and serves alongside with, ensuring to deliver stellar customer service to both internal and external customers.

As a CCTRN on our transport team, you will be part of a dedicated team providing advanced care to critically ill patients. Our team is comprised of an EMT/AEMT, ALS or Critical Care Paramedic (CCP), and a Critical Care Nurse. Our fully functional critical care ground ambulance is equipped with essential tools for advanced care, full monitoring capability with invasive hemodynamic values, specialized equipment such as Hamilton T1 ventilator, iSTAT, Medtronic pacemaker, High flow Nasal Cannula, IV medication pump, a vast number of medications, and knowledge to operate VAD, Impella, IABP (Intra-Aortic Balloon Pump).

Position Summary: 

The Registered Nurse – Interfacility Transport provides advanced and critical care during interfacility transports for high-acuity patients from initial contact through handoff at the accepting facility. Working within the State of Montana scope of practice and Bozeman Health Emergency Services protocols, the Registered Nurse partners with the Paramedic teammate and EMT/AEMT to assess, treat, and continuously monitor patients while maintaining a safe transport environment. The role ensures clear communication with dispatch and clinical teams, completes accurate and timely documentation, and maintains consistent readiness of the ambulance and transport equipment.

Qualifications:

Required:

• Bachelor of Science in Nursing (BSN).
• Current State of Montana Registered Nurse (RN) license.
• Current Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Trauma Nursing Core Course (TNCC).
• Valid Montana driver’s license with an acceptable motor vehicle record (MVR).

Preferred:

• Three (3) years of RN experience in an emergency department and/or intensive care unit.
• Previous interfacility or prehospital critical care transport experience.
• Advanced nursing certifications: Certified Flight Registered Nurse (CFRN), Certified Transport Registered Nurse (CTRN), Certified Emergency Nurse (CEN), or CCRN (Adult).
• National Registry of Emergency Medical Technicians (NREMT) certification at the EMT or AEMT level.
• Emergency Vehicle Operator Course (EVOC) and/or VFIS driver training.
• FEMA National Incident Management System (NIMS) training: IS-100, IS-200, IS-700, and IS-800.
• Completion of the Neonatal Resuscitation Program (NRP).
• Completion of the S.T.A.B.L.E. course.
• Completion of the Difficult Airway Course.
• Experience with quality assurance/quality improvement (QA/QI) and transport EMR systems.

Essential Job Functions:  In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.

• Collaborate with the Critical Care Transport Paramedic/Critical Care Paramedic partner to establish the plan of care; coordinate and deliver advanced/critical care interventions per protocol and medical direction.
• Perform comprehensive assessments, interpret diagnostics, and continually reassess patient status; adjust interventions to meet transport goals and changing conditions.
• Administer medications, titrate critical infusions, manage advanced airways, provide ventilatory support, and perform approved procedures within scope and authorization.
• Prepare, load, secure, and monitor patients and required transport equipment with the team; verify equipment readiness and security prior to movement.
• Use communication systems and GPS to coordinate with dispatch, team members, and receiving facilities; follow radio and telephone etiquette standards.
• Complete accurate, timely, and thorough electronic patient care reports (ePCR) and transport documentation; deliver concise, structured handoffs to receiving staff.
• Maintain ambulance and equipment readiness through daily check-offs, cleaning, restocking, and function testing; document deficiencies and arrange service as needed.
• Monitor weather, road, and safety conditions; conduct risk assessments and fatigue scoring; participate in pre-briefs and debriefs.
• Participate in QA/QI activities, skills maintenance, drills, and continuing education; incorporate evidence-based practice updates.
• Serve as a clinical role model and resource to internal and external partners; provide professional customer service and education as requested.
• Perform base duties and additional tasks as assigned to support transport operations.

Knowledge, Skills and Abilities

• Demonstrates sound judgment, patience, and maintains a professional demeanor at all times
• Exercises tact, discretion, sensitivity, and maintains confidentiality
• Performs essential job functions successfully in a busy and stressful environment
• Learns current and new computer applications and office equipment utilized at Bozeman Health
• Strong interpersonal, verbal, and written communication skills
• Analyzes, organizes, and prioritizes work while meeting multiple deadlines

Schedule Requirements

• This role requires regular and sustained attendance.
• The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts.
• On-call work may be required to respond promptly to organizational, patient, or employee needs.

Physical Requirements

Lifting (Repeatedly – 50 pounds): Exerting force and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people.

Sit (Occasionally): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain.

Stand (Repeatedly): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.

Walk (Repeatedly): Walking and moving around within the work area requires good balance and coordination.

Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms.

Twist/Bend/Stoop/Kneel (Repeatedly): Twisting, bending, and stooping require flexibility and a wide range of motion in the spine and joints.

Reach Above Shoulder Level (Repeatedly): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability.

Push/Pull (Repeatedly): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward.

Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.

Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials.

Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow.

Exposures (Continuously): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases are caused by contact with patients in areas that may have contagious illnesses. Emotionally challenging situations, such as dealing with distressed patients or difficult family interactions.

*Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%).

77363100 Transportation Services (BHDH)