Critical Care Paramedic

SUMMARY:  

Responsibilities include evaluation, coordination, and delivery of medical care provided to patients during transport; also is familiar with the scope of practice of the transport team members and the State rules and regulations in which the transport team operates.  Works with the other transport team members to within 45 minutes before wheels.

Responsibilities:

The following reflects management’s definition of essential functions for this job but does not restrict the tasks that may be assigned.  Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons.

Pre-Flight Responsibilities:

• Rom flight nurse, to include addressing diseases affected by altitude.
• Calls for updated medical report from the discharging facility / physician, if needed.
• Obtains report from flight nurse, to include addressing diseases affected by altitude.
• Completes pre-flight checklists.
• Assures medical equipment is accounted for, properly functioning and securely stowed on the aircraft.
• Calculates, loads and secures oxygen appropriate to patient needs, allowing for delays and/or changes in patient condition.
• Familiar with location and use of equipment and supplies, to include medications.
• Assures additional medical equipment/supplies are available for the specific needs of the patient condition and needs, based on available patient report and distance of transport.
• Co-signs controlled substance logs.
• Communicates condition, acuity and any unusual issues with entire transport team.
• Reviews dispatch sheet with Flight Coordinator, noting special instructions.
• Participates in pre-flight debriefing with other members of team, including pilots.
• Assures patient and passengers have all appropriate documentation, i.e., Passports, Visas, before departure from the discharging facility. Calls Flight Coordinator if any uncertainty as to appropriateness of travel documents.
• Understands and follows guidelines, policies, and procedures of Reva, Inc.

Transport Responsibilities:

• Performs and documents a complete head to toe assess of the patient.
• Assures compliance with minimum standard patient care requirements.
• Assures patient and passengers have all appropriate documentation, i.e., Passports, Visas, before departure from the discharging facility. Calls Flight Coordinator if any uncertainty as to appropriateness of travel documents.
• Reviews release forms, waivers, DNRs (when appropriate) to family member and/or patient. Answers any questions and assures signatures are obtained prior to leaving discharging facility.
• Safe guards medical records, x-rays, etc as per HIPPA regulations. Assures patient’s medical records and personal belongings accompany patient
• Assists pilots, as needed, in baggage search for hazardous materials.
• Coordinates the transfer of the patient to the aircraft maintaining continuity of care and insuring patient, passengers and belongings are secured.
• Provides orientation and mentoring for new program/flight crew members, medical and aviation.
• Continuously monitors and assist in documenting patient’s condition to include, but not limited to, head to toe assessment with updates, vital signs, continuous cardiac monitoring, and pulse oximetry, intake and output, documentation of cabin pressures hourly, treatment / interventions / medications performed, with responses noted, and pain scale 1 to 10 out of 10 noted with vital sign assessment. Completes medical record documentation, including demographics and signatures.
• Completes the controlled substance packet sign our form with medical crew member.
• Assures adherence to universal precautions and initiates additional precautions deemed necessary by disease specific diagnosis and/or signs and symptoms.
• Maintains respect and open communication with all members of the transport team, Reva’s staff as well as external clients. Communicates condition, acuity and any unusual issues with entire transport team.
• Transfers care of patient and records to the receiving facility, documenting date, time, name and title of healthcare giver turning care over to, and obtaining healthcare giver signature prior to leaving facility.
• Maintains communication with Flight Coordinators during flight. The medical team is to notify the Flight Coordinator when the patient has been admitted to the receiving facility and report has been given. More frequent communication may be necessary if there is a change in the patient’s condition, in the flight plan, or unforeseen issues with the transport.

Post-Flight Responsibilities:

• Completes all medical record documentation pertinent to transport, whether patient or program driven.
• Completes debriefing, including completion and signature on Debrief form, with entire transport team, prior to departure
• Assures equipment is cleaned and equipment/supplies restocked and returned to cabinet.
• Assures rechargeable equipment is plugged in and charging (light on).
• Assures completion of forms and damage/malfunction of equipment, if appropriate.