JOB SUMMARY: Provides advanced pre-hospital and inter-facility patient care from initial contact until care is relinquished to the accepting medical facility. Maintains thorough patient care documentation of assessment and intervention throughout the entire transport and will practice within the scope of practice as defined by the state of Tennessee and programs protocols. Demonstrates proficient clinical knowledge and competency of psychomotor skills during transport and will maintain through actively participating in ongoing advanced skills laboratories and hand-on clinical exercises. Acts as a clinical role model and resource to resolve complex situations and patient care issues. Participates in improvement activities and problem solving projects as assigned by the leadership team. Communicates safety concerns to leadership team, educational needs of customers and service area and deliver stellar customer service to both internal and external customers.
KEY RESPONSIBILITIES:
Plans and manages care according to the LifeFlight and VUMC standards while able to independently plan, deliver and evaluate goal focused, individualized, safe, age specific care for all patients within the scope of TN and Vanderbilt Scope of Practice.
Maintains clinical proficiency and competency per regulatory and accreditation compliance.
Participates in (self and program) improvement activities and problem solving projects.
Reviews current research and participates in applying findings for evidence based practice.
Competent in documentation that accurately reflects care provided and meets LifeFlight documentation standards.
Competent in collaborative communication to facilitate quality patient care and ensure safe hand off when care is relinquished at the accepting facility.
The responsibilities listed are a general overview of the position and additional duties may be assigned.
Vanderbilt LifeFlight is nationally-recognized for our advanced set of protocols and our flight medicine practitioners' generous scope of practice including:
Chest tube insertion
Central line insertion
Surgical airways
Pericardiocentesis
Rapid sequence intubation
Position Shift:
Our flight medicine personnel normally work one 24-hour shift and one 12-hour shift per week. We use self-scheduling to offer you the flexibility to enhance your work/life balance.
SIGNING BONUS:
$10,000 SIGNING BONUS for eligible new hires.
Department/Unit Summary
Vanderbilt LifeFlight is Tennessee's premiere air medical transport program, providing service via helicopters, a fixed wing aircraft and ground ambulances. Our team has an accident-free safety record since its inception in 1984. We accredited by the Commission on Accreditation of Medical Transport Systems (CAMTS) and are an IFR program. Our aircraft fleet includes the following: EC145, EC-135, and EC-130. Our fixed-wing aircraft is a Pilatus PC-12.
We transport to all Nashville hospitals and have immediate access to the region's only Level I Trauma Center, Burn Center and Children's Hospital, all at Vanderbilt. Our helicopters will carry a Nurse/MD, Nurse/Nurse or Nurse/Paramedic team. All RN helicopter crew members are dual licensed with both RN and EMT-P or EMT multi-state licenses.
View how Vanderbilt Health employees celebrate the difference they make every day:
Discover Vanderbilt University Medical Center:
Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded and your abilities challenged. It is a place where your diversity -- of culture, thinking, learning and leading -- is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.
VUMC Recent Accomplishments
Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:
US News & World Report: #1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children's Hospital at Vanderbilt named as one of the Best Children's Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked
Healthcare's Most Wired: Among the nation's 100 "most-wired" hospitals and health systems for its efforts in innovative medical technology.
Becker's Hospital Review: named as one of the "100 Great Hospitals in America", in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.
The Leapfrog Group: One of only 10 children's hospitals in the to be named at Leapfrog Top Hospital
American Association for the Advancement of Science: The School of Medicine has 112 elected fellows
Magnet Recognition Program: Received our third consecutive Magnet designations.
National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement
Human Rights Campaign Healthcare Equality Index: 6th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.
Additional Key Elements
CORE CAPABILITIES:
Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance.
Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment.
Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area.
Team Interaction: Provides informal guidance and support to team members.
Develops Self and Others: Invests time, energy and enthusiasm in developing self/others to help improve performance and gain knowledge in new areas.
Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.
Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences.
Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.
Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.
Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.
Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.
Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them.
Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring.
Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.
Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.
Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities.
Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.
Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.
Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.
AIRWAY ESTABLISHING (INTERMEDIATE):- Demonstrates mastery of airway establishing in practical applications of a difficult nature. Possesses sufficient knowledge, training, and experience to be capable of successfully delivering airway establishing services without requiring support and instruction from others. Able to train and educate by setting the example, giving technical instruction, providing leadership, and generally raising the level of performance of others while on the job.
VENTILATOR MANAGEMENT (INTERMEDIATE):- Demonstrates mastery of ventilator management in practical applications of a difficult nature. Possesses sufficient knowledge, training, and experience to be capable of successfully delivering ventilator management services without requiring support and instruction from others. Able to train and educate by setting the example, giving technical instruction, providing leadership, and generally raising the level of performance of others while on the job.
ASSESSING, INTERVENING & STABILIZING PATIENTS (INTERMEDIATE):- Demonstrates mastery of assessing, intervening and stabilizing patients in practical applications of a difficult nature. Possesses sufficient knowledge, training, and experience to be capable of successfully assessing, intervening and stabilizing patients without requiring support and instruction from others. Able to train and educate by setting the example, giving technical instruction, providing leadership, and generally raising the level of performance of others while on the job.
CRITICAL THINKING - (INTERMEDIATE):- Clearly and quickly demonstrates the recognition of assumptions and concepts. Shows a solid empirical grounding and a sound reasoning leading to conclusions, implications and consequences. Able to accept and understand objections from alternative viewpoints. Responsive to variable subject matter, issues, and purposes.
MEDICATION MANAGEMENT (INTERMEDIATE):- Demonstrates mastery of Medication Management in practical applications of a difficult nature. Conducted individual or group interventions to improve the ability of an individual to self administer medications as prescribed, offering improvement in insight, education regarding side effects, effects of medication and level of symptoms. Conducted systematic and regular assessment of actual or potential side effects experienced by a person as a result of prescribed medication. Possesses sufficient knowledge, training, and experience to be capable of successfully conducting Medication Management without requiring support and instruction from others.
Basic Qualifications
Qualifications - External
High School Diploma/GED
Current TN Paramedic - Critical Care (PM-CC)
3 years of experience (or equivalent).
Emergency Vehicle Operations Training and VKF training is required (can be taken during the orientation period).
BLS, ACLS, PHTLS required, and TECC must be obtained within 120 days of hire.
Licensed CCEMT-P in Tennessee required, or must obtain within 1 year of hire if candidate has previous flight experience; Licensed EMT-P in Kentucky Required within 90 days of hire. Certification in BLS, ACLS, PALS, PHTLS/ITLS, NRP, and FP-C; Additional job requirements include: 1. Medical crew members must be able to twist, bend and provide patient care in confined spaces. 2. Must be able to tolerate stressors of transport, including, but not limited to, excessive motion, vibration, and extreme temperatures. 3. Must maintain weight so as to fit into the seat belts / shoulder harnesses as provided by the aircraft or ambulance manufacturer without modification to those safety devices.
Heavy Work category requiring exertion of 50 to 100 lbs. of force occasionally and/or up to 20 to 50 lbs. of force frequently and/or up to 10 to 20 lbs. of force continually to move objects.
Movement
Occasional: Sitting: Remaining in seated position
Occasional: Carrying over 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles
Occasional: Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms.
Occasional: Kneeling:Bending legs at knees to come to rest on knee or knees.
Occasional: Crouching/Squatting: Bending body downward and forward by bending legs and spine.Reaching above shoulders: Extending arms in any direction above shoulders.
Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.
Frequent: Standing: Remaining on one's feet without moving.
Frequent: Walking: Moving about on foot.
Frequent: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
Frequent: Lifting over 35 lbs: Raising and lowering objects from one level to another, includes upward pulling over 35 lbs, with help of coworkers or assistive device
Frequent: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
Frequent: Push/Pull: Exerting force to move objects away from or toward.
Frequent: Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching or maneuvering self, patient and equipment simultaneously while working in large and small spaces
Frequent: Reaching below shoulders: Extending arms in any direction below shoulders.
Frequent: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
Frequent: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.
Frequent: Bimanual Dexterity: Requiring the use of both hands.
Sensory
Frequent: Communication: Expressing or exchanging written/verbal/electronic information.
Continuous: Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information
Continuous: Vision: Clarity of near vision at 20 inches or less and far vision at 20 feet or more with depth perception, peripheral vision, color vision.
Continuous: Smell: Ability to detect and identify odors.
Continuous: Feeling: Ability to perceive size, shape, temperature, texture by touch with fingertips.
Environmental Conditions
Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.
Occasional: Climate: Ability to withstand exposure to atmospheric extremes including heat, cold, humidity, and barometric pressure changes.
Frequent: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period. Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties. Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disease.As t...he largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.
