RN Panda One Intensive Transport Team Rotating Shift FT

Children's Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children provides advanced diagnostic services including Positron Emission Tomography (PET) and MRI. The Children's Hospital of Michigan Emergency Department is a verified Level 1 Pediatric Trauma Center and dedicated pediatric burn center. Experts in pediatric critical care, rehabilitation, and neonatal and perinatal medicine provide care for thousands of children every year at Children's Hospital of Michigan, Children's Hospital of Michigan

• Troy and six ambulatory sites.

Summary Description

Under the direction of Medical Directors and Patient Care Services Transport Manager, provides comprehensive, safe, and effective medical care to neonatal, pediatric, and adult patients transported by the CHM Critical Care Transport Team, PANDA One, via ground and air ambulance. Applies special techniques, precautions, and procedures in providing basic care and responding to life-threatening situations. Conducts a comprehensive initial and ongoing assessment of patient's health status to determine patient's physical and emotional status, initiating appropriate intervention as needed. Utilizing the nursing process, clinical judgment, and technical skills, performs routine as well as complex therapeutic and diagnostic procedures as directed by policies, treatment guidelines and medical control directive.

Performs Procedures Unique to the Transport Function including:

• Oral Endotracheal Intubation

• Maintain Oral / Nasal Endotracheal Tubes

• LMA Insertion and Maintenance

• Emergent Cricothyrotomy

• Maintenance of Tracheostomy Tubes

• Effective Ambubag Mask ventilation

• Initiation and maintenance of mechanical ventilation - conventional and high frequency

• Evaluation and administration of oxygen, nitric oxide and heliox

• Conduct effective resuscitation as outlined by BLS, NRP, PALS, ACLS, and ABLS protocol

• Establish venous access

• Peripheral IV insertion, External Jugular Cannulation, Umbilical Vein catheterization, Intraosseous access

• Interpret laboratory reports and radiographic studies

• Needle decompression of Pneumothorax

• Septic work-up

• Defibrillation, cardioversion, and external pacing

• Ventilator management - conventional and high frequency

• Provide whole body cooling of neonatal HIE patients

Coordinates, guides, and monitors the work of non-nursing members of the transport team. Documents all information relative to patient care during transport; maintains all records and logs relative to patient transport. Communicates with patients, physicians, staff and referral hospital regarding the patient's condition and progress. Maintains all nursing transport equipment and supplies according to procedures; assists in the evaluation of equipment and supplies for transport. Reports all problems relative to transport to the Manager of Patient Care Services

• Transport Team; discusses management of patient problems with appropriate CHM Transport Team Medical Directors physicians as necessary; recommends solutions as appropriate. Assist in the overall maintenance and evaluation of the transport program; attends monthly meetings to critique clinical aspects of the critical care transport program; participates in the development of transport program policies and procedures. Participates in teaching activities related to transport for in-house and referral hospital staff in addition to identifying and providing relevant instruction to patient/family. Participates in activities and increase neonatal and pediatric critical care transport nursing knowledge, professional expertise, and the delivery of quality patient care. Establishes and maintains working relationships with other hospital personnel relative to the nursing care function. Adheres to hospital and department policies, procedures, and objectives and performs other duties as assigned.

Minimum Qualifications

1.Bachelor of Science degree in Nursing or currently enrolled in BSN program.

2.Michigan license to practice as a registered nurse.

3.Three years of pediatric intensive care, neonatal intensive care or level 1 pediatric trauma experience.

4.Must be currently working in pediatric intensive care, neonatal intensive care or level 1 pediatric trauma.

5.Holds current passport or enhanced driver's license or is eligible to apply for one.

6.Required Certifications:

• BLS
• NRP
• PALS
• ACLS or successful completion during orientation
• C-NPT or successful completion within 1 year of hire date
• ABLS or successful completion during orientation.

7.Teaching Experience preferred.

Skills Required

1.Effective verbal and written communication skills for communication with staff, patient and families.

2.Requires clinical judgment and analytical skills to provide comprehensive care and the subsequent formulation and documentation of care plans.

3.Requires physical ability and visual/manual dexterity to move/transport patients and supplies, insert needles/catheters, prepare medications and provide emergency CPR maneuvers.

4.Interpersonal skills necessary to work productively with referral hospital, patients, families, physicians, and a variety of personnel.

5.Computer literacy.

6.Ability to sit, stand or walk for long periods.

7.Ability to bend, crouch and kneel.

8.Ability to use hands for keyboarding.

9.Ability to lift up to 80 pounds and move up to 250 pounds.