Details
Posted: 04-Sep-23
Location: Baltimore, Maryland
Salary: Open
Categories:
General Nursing
Internal Number: REF19543K
Job Description
The Maryland ExpressCare (MEC) Critical Care Transport Specialist 2 (CCTS2) must be able to function as a member of a highly effective, high-acuity, high-volume critical care transport team. Team members in this role are expected to work collaboratively and respond quickly and appropriately in fast-paced clinical situations requiring immediate action both in and out of the hospital environment.
The CCTS2 has an expanded paramedic scope of practice and provides high-acuity critical care and emergency ground/surface transportation for the following patient populations; Stroke, STEMI, trauma, medical, surgical, cardiac, neurologic, high risk obstetrics, neonatal, and pediatric. The CCTS2 works with physician medical directors, critical care transport nurse specialists, and providers to provide high acuity medical therapies and interventions. This role functions under the authority of (1) MEC clinical guidelines and (2) Maryland Institute for Emergency Medical Services Systems (MIEMSS) protocols when appropriate. The position works closely with healthcare providers at sending and receiving facilities to articulate a comprehensive transport plan. The scope of practice includes patients from all age groups.
In addition to transport duties, the CCTS2 also serves as a member of operational teams working on various organizational initiatives.
Principal Responsibilities and Duties
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Clinical Practice/Care Delivery
- Independently provides, directs and coordinates clinical care within the critical care transport environment. Is accountable for the processes and outcomes of care delivered to patients.
- Conducts comprehensive patient assessment, integrating multiple data sources, which forms the basis for identification of patient/family needs and problems.
- Observes patients in a systematic way for both overt and covert clinical signs and symptoms.
- Assess patient's needs prior to and during transport, and implements a patient-specific plan of care to address noted needs.
- Facilitates effective transportation of patients between referring and receiving institutions.
- Works effectively with the University of Maryland Access Center (UMAC) and multidisciplinary teams at both sending and receiving facilities to plan patient care.
- Under orders from the base station attending physician or established MEC medical guidelines, initiates immediate life support therapies including but not limited to parenteral administration of approved medications; intravenous/intraosseous therapies; EKG monitoring; arrhythmia interpretation; CPR; defibrillation; external cardiac pacing; airway management; endotracheal intubation; cricothyrotomy (needle or surgical); ventilator operation; needle chest decompression; high acuity transports with advanced life-sustaining equipment, including but not limited to management of patients with Extracorporeal Membrane Oxygenation (ECMO) and Intra-Aortic Balloon Pumps (IABP); altered neurological status; including cervical spine immobilization; application of splints and devices needed for transport.
- Responds to all internal and external crisis interventions, e.g.; Go Team requests, Novel Pathogens, outpatient assistance.
- Consistently and accurately provides comprehensive reports to the receiving medical team on patient's status and interventions provided during transport.
- Utilizes available resources within and outside the hospital for the purpose of providing comprehensive care to patients and families.
Company Description
THE MEDICAL HEART OF MARYLAND
Treating over 330,000 patients every year, the University of Maryland Medical Center is at the vital core of Maryland's health care system and community. We're known for our prestigious expertise in innovative research and education, along with the talented staff and advanced centers that make it all possible. The R Adams Cowley Shock Trauma Center, the world's first center dedicated to trauma, treats more than 7,500 critically injured patients a year with an incredible 97 percent survival rate. We also have one of the nation's largest kidney and pancreas transplant programs at The Joseph and Corinne Schwartz Division of Transplantation, home to Maryland's first steroid-free protocol and pancreas/kidney transplant. From our National Cancer Institute-designated UM Marlene and Stewart Greenebaum Cancer Center to The University of Maryland's Children's Hospital, one of the largest pediatric centers in the state, we are dedicated to saving and transforming lives.
Qualifications
- Current certificate as a Nationally Registered Paramedic
- Paramedic license issued by the Maryland Institute for Emergency Medical Services
- High school diploma or GED
- 2 or more years of experience as a paramedic in a high volume, high acuity emergency medical services system
- 2 or more years of experience as a paramedic performing critical care inter-facility transport
- Active and valid American Heart Association (AHA) certification-Basic Life Support (BLS) or equivalent*
- Active and valid AHA certification-Advanced Cardiac Life Support (ACLS) or equivalent*
- Active and valid Pediatric Advanced Life Support (PALS) OR equivalent*
- Completion of a critical care transport program course (CCEMTP or equivalent*)
*Equivalent course work determination will be made by MEC Medical Director and Nurse Manager
Required to Obtain After Hire:
- Neonatal Resuscitation Program Provider (NRP) within 6 months of hire
- STABLE Provider within 6 months of hire
- Obtain certified critical care paramedic (CCP-C) or Flight Paramedic certification (FP-C) within 18 months of hire
- Candidate must complete UMMS critical care transport orientation program and achieve Medical Director approval to function as a specialty care paramedic.
Knowledge, Skills and Abilities
- Competent in care of patients across the lifespan, with varying disease processes and acuity. Independently practices with solid critical care knowledge and clinical skills.
- Demonstrated effectiveness in supervision and management of resources associated with inter-hospital transfers.
- Demonstrated knowledge of organizational, management, administrative and operational principles and practices, including budgeting, financial management, and relevant regulations.
- Highly effective verbal and written communications skills and the ability to work with multiple stakeholders in the community and at all levels of the organization.
- Demonstrated knowledge and skills necessary to provide care appropriate to the patient population(s) served, to apply the principles of growth and development over the life span, and to assess data reflective of the patient's requirements relative to his or her population-specific and age-specific needs.
