The Maryland Express Care (MEC) Critical Care Transport Specialist 2 (CCTS2) must be able to function as a member of a highly effective highacuity highvolume critical care transport team. Team members in this role are expected to work collaboratively and respond quickly and appropriately in fastpaced clinical situations requiring immediate action both in and out of the hospital environment.
The CCTS2 has an expanded paramedic scope of practice and provides highacuity 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 patients needs prior to and during transport and implements a patientspecific 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); vent22ilator operation; needle chest decompression; high acuity transports with advanced lifesustaining equipment including but not limited to management of patients with Extracorporeal Membrane Oxygenation (ECMO) and IntraAortic 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 patients 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.Evaluates and revises individualized plans of care to appropriately reflect current and changing status of the patient and / or family.Continuously assesses monitors intervenes and stabilizes critically ill patients during transport and offers additional or alternate plans of care as needed.Uses chart review sessions as a forum for patient care evaluation and learning.Professional Development
Responsible for maintaining competencies required for the patient care setting; focus on advancing own professional development.Serves as a novice preceptor to new MEC employees.Serves as a resource to team members in the delivery of clinical care to patients.Independently attends mandatory training inservices and education classes specific to MECService Quality and Safety
Supports unitbased initiatives for process improvement plans including data collectionRecognizes potential / actual patient / family issues and seeks assistance to addressOperations
Supports charge RN and Senior Critical Care Transport SpecialistDemonstrates teamwork (e.g. cooperates with peers flexible with dispatched calls) Participates in unit level decision making via governance modelMember of at least one unitbased committee with active participation in committee operationsLeads and / or participates in various educational and quality improvement initiativesProvides feedback for peer review as requestedParticipates and supports the American Association of Critical Care Nurses guidelines for Healthy Work Environment (communication collaboration effective decision making recognition leadership staffing)Demonstrates knowledge and skills necessary to provide care appropriate to the patient population(s) served. Demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patients requirements relative to his or her populationspecific and age specific needs. Provides the care needed as described in organizational policies and proceduresQualifications :
Education and Experience
Minimum Qualifications
Current certificate as a Nationally Registered ParamedicParamedic license issued by the Maryland Institute for Emergency Medical ServicesHigh school diploma or GED2 or more years of experience as a paramedic in a high volume high acuity emergency medical services system2 or more years of experience as a paramedic performing critical care interfacility transportActive and valid American Heart Association (AHA) certificationBasic Life Support (BLS) or equivalentActive and valid AHA certificationAdvanced Cardiac Life Support (ACLS) or equivalentActive and valid Pediatric Advanced Life Support (PALS) OR equivalentCompletion of a critical care transport program course (CCEMTP or equivalentEquivalent course work determination will be made by MEC Medical Director and Nurse ManagerRequired to Obtain After Hire :
Neonatal Resuscitation Program Provider (NRP) within 6 months of hireSTABLE Provider within 6 months of hireObtain certified critical care paramedic (CCPC) or Flight Paramedic certification (FPC) within 18 months of hireCandidate 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 interhospital 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 patients requirements relative to his or her populationspecific and agespecific needs.Patient Safety
Ensures patient safety in the performance of job functions and through participation in system hospital department or unit patient safety initiatives.Takes action to correct observed risks to patient safety.Additional Information :
All your information will be kept confidential according to EEO guidelines.
Compensation :
Pay Range : $27.44$38.41
Other Compensation : Shift Differentials and Signon Bonus
Review theUMMS Benefits Guide
Remote Work : Employment Type :
Fulltime
Key Skills
Corporate Paralegal,GIS,Heavy Machinery,Content Writing,ABAP,Clinical
Vacancy : 1
Salary : $27 - $38
