RN Pediatric Full-time
Atrium Health

MedCenter Air Neonatal Pediatric Transport RN - FT - Nights

Department:

70508 Atrium Health Mobile Medicine - Rotor Wing Transports: Concord

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Night shift - self scheduling - every other weekend

Pay Range

$37.50 - $56.25

Essential Functions
• Collects data pertinent to the healthcare consumer's health or the situation.
• Analyzes the assessment data to determine the diagnosis or issues.
• Identifies expected outcomes for a plan individualized to the healthcare consumer or the situation
• Develops a plan that prescribes strategies and alternatives to attain expected outcomes.
• Implements the identified plan, coordinates care delivery, and employs strategies to promote health and a safe environment.
• Evaluates progress toward attainment of outcomes.
• Practices ethically
• Delegates elements of care to appropriate healthcare workers
• Promotes shared governance, or facility decision making activities, developing and nurturing research to positively affect clinical outcomes and promotion
• Attains knowledge and competence that reflects the current nursing practice
• Integrate evidence and research findings into practice.
• Contributes to quality nursing practice
• Communicates effectively in a variety of format in all areas of practice.
• Evaluates her for his own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations.
• Utilizes appropriate resources to plan and provide nursing services that are safe, effective, and financially responsible.
• Participates in committees, shared governance, or other facility decision making activities.
• Practices in an environmentally safe and healthy manner
• Models the mission, vision, values, standards of excellence and goals of the Advocate health system.
• Supports and contributes to the patient centered care philosophy by understanding that every teammate is a caregiver whose role is to meet the needs of the patient.
• Required to have operational knowledge for multiple modes of transportation including ambulances, helicopters and airplanes. Must be trained in aviation and meet the minimum requirements to operate as a “flight crew member” per FAA Part 135 regulations. Including operation of Night Vision Googles to ensure safe landings.
• Independently initiates advanced practice procedures to provide improved patient outcomes such as: drug assisted intubation, video laryngoscopy, needle chest decompression, chest tube insertion, central line placement (UA/UV, EJ), intraosseous placement, transvenous/transcutaneous pacing, needle cricothyroidotomy, surgical cricothyroidotomy, and initiation/titration of pharmacological agents.
• Initiates intubation procedures and sets up ventilation equipment. Operates, assesses, and manages patient airway support, ventilator settings and equipment.
• Transports and monitors patients requiring ECMO, Medical Circulatory Devices (VAD, Impella), Intra-aortic Balloon Counter Pulsation, Internal/External Pacing, Ventriculostomy, and Point of Care. Must be capable of handling equipment challenges and failures without support of internal hospital resources.
• Works in an autonomous environment that requires patient management and critical decision-making based upon the dynamic patient status in unique settings such as accident/scene calls outside the traditional hospital and healthcare setting with limited resources and support.
• Responds to accident scenes and is expected to work in hazardous environments. Including inclement weather, biohazards and highly infectious patients. Responds to disasters and maybe deployed for extended periods of time.
Physical Requirements
• In order to meet safe flight weight limitations and scheduling requirements candidates must weigh less than 240 pounds and must maintain that weight while employed at MCA (exception will be made only when department has ground position needs).
• Duties require working and transporting patients in ambulances as well as driving vehicles including ambulances in all weather conditions. Required to drive to and work at multiple locations across applicable state and SC based on staffing needs.
• Must not have any physical, emotional, or mental impairment to prevent them from riding, driving, or administering patient care in transport vehicle. This work area has cramped space and can be poorly lit. Noise levels are moderate as associated with working in and around emergency vehicles. Hearing protection is available and required for use around “hot” aircraft. Requires handling of patients that may have infectious disease, possible exposure to unpleasant conditions and / or handling of contaminated materials or patients.
• Heavy lifting required, with the assistance of a partner, to load patients, unload patients, and carry equipment. Good physical stamina and endurance is necessary to perform duties. Teammate must maintain fitness standards in accordance with Policy 2.210 (Fit for Duty).
• Must have intact sense of sight, hearing, smell, and touch. Finger dexterity, good motor, and eye-hand coordination required. Requires good personal hygiene and appropriate conduct. Must have excellent communication and interpersonal skills to include, but not limited to speaking English in good, understandable terms.
• Additional department specific physical requirements may be identified for unique responsibilities within the department by the nurse leader.
Education, Experience and Certifications
• Graduate from an accredited school of nursing. BSN preferred.
• Complies with the Clinical Nurse requirements of the professional nurse clinical advancement program. Experience as outlined in the Professional Nurse Clinical Advancement Program.
• Current RN license or temporary license as a registered nurse petitioner in the state in which you work and reside or if declaring a National License Compact (NLC) State as your primary State of residency, meet the licensure requirements in your home state: or for Non-National License Compact states, current RN licensed or temporary License as a Registered Nurse petitioner required in the state where the RN works.
• Minimum of three (3) years clinical nursing experience in the Emergency Department and/or Intensive Care Unit required.
• Demonstrate proficiency in advanced procedures and skills upon completion of orientation and bi-annually.
• EMT certification upon hire or by the end of orientation.
• Paramedic Certification required within one year of completing orientation. Must acquire applicable state EMT-P, SC EMT-P and National Registry. Must be maintained throughout employment.*
• Completion of an approved trauma certification within one year of hire and must be maintained throughout employment.
• BLS, ACLS, PALS, NRP and S.T.A.B.L.E. required upon completion of orientation and must be maintained throughout employment.
• Advanced certification such as a certified flight registered nurse (CFRN), certified transport registered nurse (CTRN), certified emergency nurse (CEN), certified critical care registered (CCRN), or other equivalent as approved required to maintain position according to standards of commission on accreditation of medical transport systems.
• Must maintain annual compliance in education related to specialty area and/or primary base location outside of typical nursing practice.
o Simulation lab
o Mechanical Ventilator Management/Lab
o Certified Emergency Vehicle Operations
o Air Medical Resource Management
o Night Vision Goggle
o Survival Practical
o Sleep Deprivation/Just Culture/Stress Management
o Transport Vehicle Safety Training – ambulance/helicopter/airplane
• Previous transport or pre-hospital experience preferred.
* Paramedic certification is required within one year of completing orientation for all new hires. Current MCA RN teammates must complete their paramedic certification by Dec 31, 2019 in
order to remain eligible for the position. Individuals currently enrolled in BSN or related graduate programs may be granted an extension with nurse manager approval.
Patient Population Served
Demonstrates knowledge of the principles of growth and development and demonstrates the skills and competency appropriate to the ages, culture, developmental stages, and special needs of the patient population served.
Protected Health Information

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance

Benefits and more

  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

About Advocate Health 

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

The Clinical Transport Nurse provides professional nursing care through high-quality assessment, triage / treatment to assess the nature and extent of a patient's illness / injury and prioritize the needed care. Provides comprehensive nursing care through skillful assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. Patients often are intubated, on ventilators, or have hemodynamic instability. The Clinical Transport Nurse performs invasive procedures and hemodynamic management of critical patients. Manges ventilator settings, vasopressors, and solves complex clinical challenges. The Clinical Transport Nurse must have strong clinical knowledge and skills necessary to care for patients of all ages with a diverse range of medical needs (neonatal – geriatric) operating specialized medical equipment and utilizing advanced skills. The Clinical Transport Nurse functions autonomously outside of the hospital environment under standards and protocols approved by the Medical Director as established by the applicable state Board of Nursing, applicable state Offices of Emergency Services, South Carolina Department of Health and Environmental Control. The Clinical Transport Nurse must be proficient in advanced practice procedures to provide improved patient outcomes. A registered nurse's practice is guided by the ANA Code of Ethics for Nurses with Imperative Statements.

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Proficiency in operating computer functions (e.g., E-mail, electronic records, digital platforms etc.) clinical, aviation, maintenance, communications, and administrative departments. Physical Requirements and Working Conditions Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders, and twist frequently throughout the workday. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must be able to: push/pull with 30 lbs. of force and perform a sliding transfer of 150 lbs. with a second person present. Must have functional speech, vision, hearing, and touch with ability to use fine hand manipulation skills for IV insertion and other procedures/functions. Maneuver foot pedals on carts or machines. Perform physical safety interventions such as patient restraint and verbal de-escalation, if needed. May be exposed to chemical and hazardous waste as well as blood and body fluids and communicable disease. Therefore, protective clothing and equipment must be worn as necessary. Must be able to respond quickly to changes in patient and/or unit conditions. Physical Abilities Testing may be required. Additional department specific physical requirements may be identified for unique responsibilities within the department by the nurse leader. Preferred Job Requirements Education Bachelor of Science degree in Nursing (BSN) This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. The Registered Nurse (RN), a member of Advocate Health Nursing Professional Governance community, provides high- quality, patient-centered care through evidence-based practice, clinical expertise, and compassionate care delivery in an acute care setting. The RN collaborates with interdisciplinary teams, advocates for patient needs, and upholds professional practice standards to promote optimal health outcomes.
RN Med-Surg Full-time
Duke Health

Registered Nurse - Med Surg

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Duke Health Lake Norman Hospital Pursue your passion for caring with Duke Health Lake Norman Hospital in Mooresville, North Carolina. The smallest of the four Duke Health hospitals at 123-beds, it offers a comprehensive range of medical services, including 24-hour emergency care, cardiology, orthopedics, women's services, and surgical specialties. Duke Nursing Highlights: Duke University Health System is designated as a Magnet organization Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility) $15,000 Commitment bonus if eligable $8,000 Reloacation allowance if elegable Job Summary Independently plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Work Performed Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care. Delegate tasks and supervise the activities of other licensedand unlicensed care providers. Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned. Monitor and initiate corrective action to maintain the environmentof care including equipment and material resources. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Act as preceptor and support thedevelopment of other staff and formal learners. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Perform other related duties incidental to the work described herein. Knowledge, Skills and Abilities Knowledge of scope of the registered nurse, licensed practical nurse and unlicensed staff Knowledge of and appropriate application of the nursing process Knowledge of professional theory, practice and procedure Ability to assess nursing needs of acute and chronically ill patients and their families Ability to independently seek out resources and work collaboratively Ability to establish and maintain effective working relationships Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others Ability to teach patients and families in accordance with the nursing plan of care Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up Ability to use fine motor skills Competent in BLS and/or other specialized life support requirements designated by work area Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status Ability to use computer and learn new software programs Able to document and communicate pertinent information using computer and/or paper documentation tools Ability to navigate the entity to provide clinical care for patients Ability to withstand prolonged standing and walking. Ability to remain focused and organized Working knowledge of procedures and techniques involved in administering routine and special treatments to patients Working knowledge of infection control procedures and safety precautions Working knowledge and completion of appropriate The Joint Commission (TJC) and other regulatory requirements Pre-employment Physical Capacity Testing Required Level Characteristics N/A Minimum Qualifications Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Education Work requires graduation from an accredited BSN program. Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within seven years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification. Experience Twelve months of appropriate clinical experience is preferred. Degrees, Licensures, Certifications Must have current or compact RN licensure in the state of North Carolina. BLS required. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.