Respiratory Therapist

Position Summary The Critical Care Transport Registered Nurse (CCT-RN) provides advanced nursing care during interfacility transports of critically ill and injured patients. Working collaboratively with paramedics, EMTs, respiratory therapists, physicians, and receiving facilities, the CCT-RN delivers high-quality patient care in accordance with California nursing regulations, EMS Authority standards, and CONFIRE clinical protocols.

The CCT-RN functions in a mobile critical care environment requiring sound clinical judgment, independent decision-making, and the ability to adapt to rapidly changing patient conditions.

Essential Duties and Responsibilities Conduct comprehensive patient assessments before and throughout transport.

Develop and implement patient care plans based on physician orders and transport protocols.

Provide advanced cardiac, neurological, trauma, pediatric, and medical critical care during transport.

Manage ventilators, infusion pumps, vasoactive medications, sedation, blood products, invasive monitoring, and specialty equipment.

Interpret cardiac rhythms and initiate appropriate interventions.

Perform medication administration within scope of practice.

Collaborate with sending and receiving physicians regarding patient status.

Ensure continuity of care throughout transport.

Document patient assessments, interventions, medications, and transport events accurately.

Serve as clinical leader of the transport team when assigned.

Participate in quality improvement activities and clinical case reviews.

Maintain readiness of ambulance equipment and medications.

Participate in continuing education, competency assessments, and mandatory training.

Maintain patient confidentiality and HIPAA compliance.

Perform additional duties as assigned

Minimum Qualifications Education Graduate  of an accredited Registered Nursing program.

BSN preferred.

Licensure Current California Registered Nurse License in good standing.

Experience Minimum three (3) years recent ICU or Emergency Department experience.

Critical Care Transport experience preferred.

Required CertificationsBLSACLSPALSNIH Stroke Scale (preferred)
TNCC (preferred)
CCRN (preferred)
CTRN preferred within designated timeframe after hire Knowledge, Skills & Abilities Critical care assessment

Mechanical ventilation

Hemodynamic monitoring

Pharmacology

Advanced airway management

Cardiac rhythm interpretation

Pediatric critical care Trauma care Excellent communication

Sound clinical judgment

Ability to work independently

Strong teamwork skills

Physical Requirements Must be able to:

Lift 100+ pounds with assistance.

Push and pull stretchers.

Work in confined ambulance environments.

Sit, kneel, crouch, climb, bend, and reach frequently.

Work 12–24 hour shifts.

Work in adverse weather conditions.

Work Environment Ambulances Hospitals Emergency  departments

Skilled nursing facilities

Long-term acute care hospitals

Outdoor emergency environments

Core Competencies Clinical Excellence Patient Advocacy Safety Focus Integrity Teamwork Adaptability Communication Accountability Compassion
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