Registered Nurse

Registered NurseSalary Range $49.68 - $70.35 Hourly Level Experienced Position Type CONFIRE EMS Category Nurse (RN, NP, etc.)DescriptionThe 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 ResponsibilitiesConduct 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.QualificationsMinimum QualificationsGraduate of an accredited Registered Nursing program.BSN preferred.LicensureCurrent California Registered Nurse License in good standing.ExperienceMinimum 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 hireKnowledge, Skills & AbilitiesCritical care assessmentMechanical ventilationHemodynamic monitoringPharmacologyAdvanced airway managementCardiac rhythm interpretationPediatric critical careTrauma careExcellent communicationSound clinical judgmentAbility to work independentlyStrong teamwork skillsPhysical RequirementsLift 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 EnvironmentAmbulancesHospitalsEmergency departmentsSkilled nursing facilitiesLong-term acute care hospitalsOutdoor emergency environmentsCore CompetenciesClinical ExcellencePatient AdvocacySafety FocusIntegrityTeamworkAdaptabilityCommunicationAccountabilityCompassion