Critical Care Transport Nurse

Critical Care Transport Registered Nurse (CCT RN)Harris Health is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services.The Critical Care Transport Registered Nurse (CCT RN) with Harris Health EMS is an experienced and proficient registered nurse whose expertise is validated through board certification and specialized training in critical care transport. The CCT RN provides advanced clinical care to high-acuity patients during interfacility and specialty care transports (SCT) and serves as a clinical leader and resource to the interdisciplinary EMS team. In addition to delivering expert patient care, the CCT RN educates and precepts EMS peers, supports professional development, and fosters a culture of safety and excellence. The CCT RN also contributes to quality assurance and improvement by performing chart reviews, audits, and case evaluations. These activities help identify practice gaps, inform targeted education, and enhance peer performance and team outcomes. This role combines clinical excellence, education, certification support, and quality improvement to deliver safe, evidence-based specialty transport care in compliance with nursing regulations, EMS accreditation standards, and organizational policies.Minimum Qualifications:Degrees: Bachelor of Nursing DegreeLicenses & Certifications:Registered Nurse: State of Texas or valid multi-state/compact licenseEMT-Paramedic (EMT-P): Texas Department of Health EMT-Paramedic License (preferred)Basic Life Support (BLS): from American Heart Association (AHA) or Harris Health approved program.Advanced Cardiac Life Support (ACLS): from American Heart Association (AHA) or Harris Health approved program.Pediatric Advanced Life Support (PALS): Pediatric Advanced Life Support (PALS) from American Heart Association (AHA) or Harris Health approved program.Trauma Nurse Core Course (TNCC): Provider Course from Emergency Nurses Association (ENA)Neonatal Resuscitation Program (NRP): Or related specialty certificationPreferred:At least two (2) nursing Double Board Certification from the Board of Certification for Emergency Nurses (BCEN) or American Association of Critical Care Nurses (AACN): Certified Emergency Nurse (CEN), Trauma Certified Registered Nurse (TCRN), Certified Pediatric Registered Nurse (CPRN), Certified Burn Registered Nurse (CBRN), Certified Transport Registered Nurse (CTRN), Certified Flight Registered Nurse (CFRN) from the BCEN, or Critical Care Registered Nurse (CCRN) from American Association of Critical Care Nurses (AACN) or related nursing specialty upon hire and the other 1 within 18 months of hire preferredNIH Stroke Scale Certification: Within 30 days of hireWork Experience: Three (3) years of Emergency Center or ICU experience that includes 4000 critical care hoursManagement Experience: One (1) Year of Clinical Leadership Experience (Meets 2 of 3 Clinical Leadership Requirements): Charge Nurse, Critical Care Lead, Preceptor, Quality RN, QI Champion, Shared Governance LeadCommunication Skills: Above Average Verbal Communication (Heavy Public Contact) Writing/Correspondence Writing/Reports Proficiencies: MS Word, Personal ComputerJob Attributes Knowledge/Skills/Abilities: Analytical Abilities, Mathematics, Medical Terminology KnowledgeWork Schedule: Flexible, Holidays, WeekendsOther Special Requirements:Simulation Scenarios: Successfully exhibits critical thinking with appropriate interventions under instructor supervision. Including but not limited to: code blue management, RSI, supraglottic adjunct, obtain EKGs, comprehensive critical thinking of stroke, STEMI, and multi system trauma patients.Annual Cadaver Lab must obtain 5 successful intubations with video laryngoscope, perform needle decompression, perform cricothyrotomy, insert intraosseous needle and identify important anatomical locationsAnnual Intubations: Complete 20 with an 85% success rateSpecialty Care Transport Ride Outs: complete a minimum of 10 patient contactsMandatory Education: Including but not limited to, Hamilton T1 Ventilator, Alaris infusion pump, intra-aortic balloon pump, chest tube monitoring, hemodynamic monitoring devices, LVAD, and any other education deemed appropriate by the EMS Medical DirectorQuarterly Education/Skills Assessment: Must participate in quarterly simulations and education classes as deemed by HHS EMS Medical DirectorMandatory monthly meeting and committee meetingProtocol Test: Must pass with 85%EMS Medical Director validation required