The purpose of this position is to work as a part of the Care Flight Team to provide high quality medical care and transport of critically ill and injured patients. Coordinate a smooth and efficient system of stocking supplies and equipment on the aircraft/ambulance and equipment rooms and exchange of Care Flight user agency equipment.

Position Accountabilities

REMSA was established to oversee Care Flight and RASI operations and to coordinate emergency medical service activities through a central emergency medical communications center.  REMSA answers to its Board of Directors with responsibility to the Washoe County District Health Department.

This position has contact with the staff of base hospitals and outlying hospitals; with physicians, public service agencies (fire, police, and highway patrol) and ground ambulance personnel; patients and their families; and with various service groups for public relations and educational purposes.

This position has the authority to determine medical and therapy based on the assessment of the patient in keeping with established protocols; safety decisions involving patient, aircraft and other ground transport equipment; whether or not additional equipment should be taken; in triage, who to transport and setting of priorities; and the care, inventory, and ordering of standard medical supplies.

Decisions that must be referred to the supervisor are management decisions outside established policies and procedures; flight requests outside of normal administrative guidelines – distance, search and rescue, private residence, prearranged transports, long distance transports; ride-alongs; equipment purchase and addition/deletion of different drugs; changes in medical protocol; and the coordination of public relations request.

Within this general framework, this position is accountable for the following functions:

• Provide documentation of assessment and treatment of patients by completing all necessary follow-up and nursing chart forms.
• Provide consistent, high quality patient care as outlined by the REMSA Standard of Care, Protocols, and accepted local and national treatment doctrines.
• Responsible for all aspects of patient care from the time of patient contact until transfer to a higher level of care.
• Provide life support and reduce mortality for patients at the scene or hospital and during transport to definitive care setting.
• Provide a catalyst for absolute professionalism, integrity, confidentiality, and competency with patients, their families, the public, other agencies, coworkers, and REMSA management at all times.
• Responsible for providing documentation and timely, legible and highly accurate record keeping for appropriate agencies and physicians. Also, responsible for providing accurate documentation for statistical purposes.
• Provides patient following, immediate follow-up to requesting agency on patient status upon arrival and later follow-up on patient’s progress/disposition.
• Performs general inspection and maintenance of equipment utilized to ensure that the equipment is working properly. This includes restocking, ordering supplies, cleaning and arranging for the repair of all damaged equipment to ensure safety of crew and public.
• Expedites the return of the aircraft or ground ambulance to service by cleaning and restocking.
• Provides a smooth and efficient exchange of equipment and user agency equipment.
• Maintains all required certifications and licenses along with a commitment of self-improvement and learning.
• Maintain and improve EMS leadership skills reading books and periodicals, and by attending classes, meetings and seminars.
• Exhibits self-motivation, initiative and flexibility while performing routine tasks along with special projects and studies.
• Provides public education to the community, students, co-workers, base hospitals, outlying hospitals and user agencies. This includes education of safety regarding aircraft and other equipment operations.
• Responsible to participate in the orientation and training of all new crewmembers.
• Provide feedback to management for improvement of working conditions, patient care, and system performance.
• Duties as assigned

Qualifications/ Experience Requirements

At time of hire:

• Graduation from an accredited school of nursing.
• Registered nursing license in Nevada or ability to obtain a Nevada license through state reciprocity.
• Submission of California reciprocity paperwork.
• Three (3) years critical care nursing experience.
• Advanced Cardiac Life Support provider certificate.
• Pediatric Advanced Life Support (PALS), EMSC, or ENPC certificate.
• Valid driver license.
• Experience operating an emergency vehicle a plus.
• A clean driving record mandatory.
• Submission of EMS RN after hire.
• Neonatal Resuscitation Program (NRP). Must be completed at the next available class date.
• Must successfully complete the REMSA orientation program after employment.
• Must be able and willing to work overtime as required

Within two years of employment:

• Certified Flight Registered Nurse (CFRN)
• Transport Professional Advanced Trauma Course (TPATC)