Job Title: Registered Nurse (RN)
The Registered Nurse performs basic life support, advance life support and critical care nursing. The Registered Nurse provides direct patient care to the ill and injured during the transport and the local EMS transport and treatment protocols. The Registered Nurse functions under standing orders of the physician or the medical director. The Registered Nurse performs assessments, treats, and monitors patients during inter-facility transports.
The Nurse is frequently the first or second contact with whom AMR’s customers, especially patients, have interaction. As a result, the Nurse must be responsive and adaptable to meet customers’ expectations. The Nurse must adapt to the changes in scope of delivery and practices. This may require adapting to new delivery protocols, or training curriculum to maintain certification.
An increasing challenge is adapting to the changing nature of healthcare delivery in the United States. With healthcare reform, regulatory changes, and changing reimbursement, the Nurse profession is evolving. The Nurse must recognize that an expansion of his/her role is necessary to meet the needs of those individuals served. The role now expands beyond the foundational work of providing compassionate and clinically competent care. The Nurse must consider the use of appropriate facilities and understand the reimbursement structure in order to transport the patient to the right facility and ensure payment. The end result decreases customer stress, avoids care delays due to reimbursement constraints, eliminates unnecessary multiple patient transports, and increases customer satisfaction. Growing economic pressures also require the Nurse to think of his/her actions and there financial impact.
The Nurse is often the focal point for interaction with the fire department and other service providers, as well as other responding agencies, such as the police department. To provide successful response, all agency personnel must work together.
In addition, the delivery of care is often provided to individuals who are afraid or even panicked. Further, service delivery is being provided in communities with increasingly diverse cultural populations.
Finally, changing technology requires the Nurse to keep up-to-date with new ways of communicating, documenting and reporting.
Key Internal Customers and Suppliers
- The key relationship for the Nurse is his/her partner, who may be Paramedic or an EMT
- The second key relationship for the Nurse is with the Communications Center Professional who provides them the information they need to respond to calls successfully
- The Nurse works with field supervisors who provide support and guidance on how to perform at his/her best
- The Nurse interacts with clinical personnel to grow and stay abreast of the current clinical demands in the medical field
- The Nurse interacts daily with fleet and materials management personnel to ensure the unit is running properly and stocked appropriately
- The Nurse interacts with peers and colleagues regularly to share experiences and best practices
- The Nurse works with representatives of the human resources function regarding employment concerns
- The Nurse works with the operations personnel responsible for scheduling
- The Nurse works with the medical director for on-line, off-line, and concurrent medical control
Key External Customers and Suppliers
- The paramount relationship for the Nurse is with the patient and his/her loved ones, who need assurance and compassion, as well as medical care
- The Nurse works regularly with facility staff, that are responsible for receiving patients, providing medical control or direction, and/or preparing patients for transport
- The Nurse partners with fire, police and other agencies during emergency calls to ensure safe, efficient actions are taken
- The Nurse has regular contact with the public at large during calls and may also interact with government/regulatory agencies and the media. In these situations, the Nurse must demonstrate the appropriate image of AMR
- Inspire Trust: Establish credible, trusting relationships; behave in accord with expressed beliefs and commitments; build trust with others through own authenticity, consistency and follow-through on commitments
- Act with Integrity: Demonstrate values-based leadership and sound ethics; show consistency among principles, values and behavior; maintain high standards of integrity and protect confidential information
- Professional Maturity: Demonstrate emotional control, self-confidence and insight; seek help and support as necessary; maintain life balance and separate work and personal issues and frustrations
- Show Work Commitment: Set high standards of performance; readily put in extra effort; initiate activities without being asked to do so (e.g., wash rig, community service)
- Demonstrate Adaptability: Flexibly respond to multiple demands, shifting priorities, ambiguity, and rapid change; show resilience in the face of constraints, frustrations, or adversity; demonstrate flexibility and an appropriate sense of humor
Respect for People
- Build Relationships: Relate to people in an open, friendly, accepting manner; show sincere interest in others and their concerns; initiate and develop relationships with others as a key priority
- Foster Open Communication: Create an atmosphere in which timely and high-quality information flows smoothly between self and others; encourage the open expression of ideas and opinions; discourage use of the “rumor mill”; create a scene environment that facilitates the exchange of critical information
- Speak Effectively: Speak clearly and express self well in groups and in one-on-one conversations
- Listen to Others: Demonstrate attention to and convey understanding of the comments and questions of others; listen well to others’ thoughts and ideas
- Prepare Written Communication: Convey information clearly and effectively through both formal and informal documents; review and edit written work constructively; document events in a timely manner with accurate details
- Manage Disagreements: Bring substantive conflicts and disagreements into the open and attempt to resolve them collaboratively; build consensus when appropriate
- Influence Others: Assert own ideas and persuade others; gain support and commitment from others; mobilize people to take action
- Focus on Customer/Patient Needs: Anticipate customer/patient needs; take action to meet customer/patient needs; continually search for ways to increase customer satisfaction.
- Use EMS Technical Expertise: Possess up-to-date knowledge in the profession and industry; stay proficient on clinical skills and current on procedures and protocols
- Analyze Issues: Gather relevant information systematically; consider a broad range of issues or factors; grasp complexities and perceive relationships among problems or issues; seek input from others; use accurate logic in analyses
- Use Sound Judgment: Make timely and sound decisions; make decisions under conditions of uncertainty and crises; utilize the STAR CARE model for decision making
- Innovate: Generate new ideas; go beyond the status quo; recognize the need for new or modified approaches; bring perspectives and approaches together; combining them in creative ways
- Value Diversity: Show and foster respect and appreciation for each person whatever that person’s background, race, age, gender, disability, values, lifestyle, perspectives, or interests; seek to understand the views of others; see differences in people as opportunities for learning about and approaching things differently
- Coach Others: Accurately assess strengths and development needs of partner, employees and trainees; give timely, specific feedback and helpful coaching; willingly share expertise and experience with others
- Develop Oneself: Learn from experience; actively pursue learning and self-development; seek feedback and welcome unsolicited feedback; modify behavior in light of feedback
- Drive for Results: Drive for results and success; convey a sense of urgency and drive issues to closure; persist despite obstacles and opposition
- Provide Scene Management: Develop a strategy for scene management; provide clear direction and priorities; clarify roles and responsibilities
- Support Teamwork: Show commitment to team objectives and contribute to team effort; team with partner and other agency personnel (fire, police, etc.) to provide effective service; value input of all team members and promote teamwork
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Responsible for adapting to the changing nature of healthcare, customer’s expectations, adapting to new delivery protocols, interaction with the medical centers, hospitals, and physicians and other service providers and other ancillary EMS agencies, and new ways of communicating, documenting and reporting
- Customer satisfaction
- Clinical skills
- Procedure and protocol adherence and compliance
- Chute time, turnaround time
- Documentation compliance
- Self-development and assisting in development of others
- Certification maintenance
- Protection and maintenance of company equipment
- Transport percentage
- Run system calls as required
NONESSENTIAL JOB DUTIES:
- Perform other duties as assigned.
- Current license in good standing as a Registered Nurse as required by the state
- Minimum five (5) years Emergency Department experience, or Critical Care Unit experience or Intensive Care Unit experience, or (5) years’ experience in a combination of these units/departments.
- Current American Heart Association CPR card.
- Current American Heart Association ACLS card.
- Current American Heart Association Pediatric Advanced Life Support (PALS)
- Current state Driver’s License in good standing.
- Satisfactory driving record in accordance with the Company’s Driving Policy.
- Excellent communication and customer service skills.
- Ability to work cooperatively with other employees and medical agencies to provide the highest level of patient care.
- Ability to read and interpret all required documents and write required reports and correspondence.
- Other qualifications/certifications specific to the local operation and/or contract requirements.
- Satisfactorily meet Company physical assessments/tests.
- Current critical care inter-facility transfer experience; CEN, CCRN
- Occasionally: Smelling
- Frequently: Kneeling, stooping, bending, leaning, flexibility, and multiple physical activities performed at the same time (carrying multiple equipment while pushing on pram)
- Constantly: Hearing/listening, clear speech, simple touching, walking (inside and outside), pushing, pulling, reaching, sitting, driving ambulance, seeing