Nursing Graduate Registered Nurse (RN) - Emergency Department

Registered Nurse
Salary Range $49.68 - $70.35 Hourly Level Experienced Position Type CONFIRE EMS Category Nurse (RN, NP, etc.)
Description
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.
Qualifications
Minimum Qualifications

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 Certifications

BLS

ACLS

PALS

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

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