Advance Practice Registered Nurse - Flight

The Department of Emergency Medicine of the Metro Health System, a principal teaching hospital of the Case Western Reserve University (CWRU) School of Medicine, is seeking an Advance Practice Registered Nurse to join our growing Life Flight team.

Delivers direct patient care consistent with the advanced practice registered nurse’s education, experience, and certification, in collaboration with a physician, which includes diagnosis, management, and/or referral of health care issues. Promotes consumer, family, and community health through preventative health care actions and patient advocacy. The advanced practice registered nurse may also manage complex illnesses and/or deliver specialty care. Upholds the mission, vision, values, and customer service standards of the Metro Health System.

Metro Life Flight responsibilities include advanced emergency and critical care patient management during air and ground transport of the critically ill or injured patient from the scene or outlying sites to participating secondary and tertiary care institutions. Provides intensive care monitoring, critical care intervention and advanced surgical skill procedures to critically ill and injured patients. Includes management of high‑risk obstetrical, medical, surgical, respiratory and cardiovascular patients.

The specialized training of the Flight Nurse Practitioner allows for the provision of care to critically ill and injured patients through ventilatory support, continuous cardiac and hemodynamic monitoring, including intra‑aortic balloon pump. Upholds the mission, vision, values, and customer service standards of the Metro Health System.

• Contributes to patient safety by:
  • Providing a safe environment for patients.
  • Reporting safety concerns, errors and near misses.
  • Participating in system improvement initiatives to prevent errors.
  • Providing evidence‑based care as applicable to the role.
• 1. Clinical Practice
  • a. Performs patient assessment, documents and analyzes data relative to specialty based on patient needs, existing signs and symptoms and current patient data.
  • b. Utilizes critical thinking in formulating differential diagnosis and establishing priorities in care.
  • c. Institutes measures to promote and maintain health, prevent illness, maintain comfort and meet achievable patient and family care preferences.
  • d. Develops individual, evidence‑based plan of care for patient with ongoing management and evaluation of patient outcomes based upon advanced practitioner’s scope of practice and certification in collaboration with patient, family, and/or other pertinent health care provider(s) including collaborating and specialty physician(s) as needed.
  • e. Provides care in a manner which enhances patient satisfaction; maintains and promotes good public relations.
  • f. Selects appropriate communication approach to achieve desired outcomes; identifies barriers to communication; initiates appropriate interaction and evaluates results.
  • g. Accepts accountability for clinical practice including making decisions proactively, responding to changing needs of patients/families and representing patient needs to others as appropriate.
  • h. Ensures that compliance is maintained with all applicable regulatory agencies and laws, national standards, The Metro Health System Code of Ethical Conduct and American Nurses Association (ANA) Code of Ethics.
  • i. Prescribes drugs and therapeutic devices in accordance with laws and within scope of practice, if holds Certificate to Prescribe. For Clinical Practice of the Metro Life Flight Nurse Practitioner:
  • j. Understands flight physiology and takes appropriate action regarding patient care.
  • k. Works collaboratively with the Nurse Manager, Metro Life Flight Professional Practice Committee (Shared Governance) and assistant medical directors in the evaluation and improvement of clinical practice.
  • l. Assures availability via provided hospital pager for programmatic needs including but not limited to: patient care, specialty transports, and other administrative direction.
  • m. Performs a prehospital scene survey to ensure safety of patient and crew members and coordinates patient triage in the pre‑hospital…