Download - Flight Nurse
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Warrior by Nelly
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What is a Flight Nurse?
• RN who provides prehospital and emergency or critical nursing care to all types patients during transportation from the scene to the hospital.
• You need extensive training and certification.
• Arch or Airvac requires 5 years of ICU experience.
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What do they do?
• Pick up• Transport• Stabilize• They provide more care than an EMT. Ie.
start an arterial line, intubate • They can get patients to where they need
to go faster than ground transportation
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What goes down…
• Debbie’s experience shadowing a flight nurse.
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What do I need to do to do this?!• ARCH or Airvac 5 yrs of ICU, ER, or paramedic• Have to be a registered nurse in MO and IL• 1. Get Certified!
– Certified Emergency Nurse (CEN) – Certified Critical Care Nurse (CCRN) – Paramedic (EMT-P) – NOTE: The Certified Flight Registered Nurse (CFRN) is not included as a prerequisite. Obtaining the
CFRN without having flight experience is a bit like trying to take the CEN without ever having worked in an emergency setting.
• 2. Get Trained!– Basic Cardiac Life Support (BCLS) – Advanced Cardiac Life Support (ACLS) – Air-Medical Crew National Standard Curriculum – Any altitude physiology course (Karen Hamilton with Aeromedical Transport Specialists, Inc., offers a
course called "The Basics and Beyond: Aeromedical Concepts, her phone number is 804.874.4030. Karen's a bit O/C but as a result I would rate her course as "outstanding".)
– Trauma Nurse Core Course (TNCC) – Pre-hospital Advanced Life Support (PHTLS) – Basic Trauma Life Support (BTLS) – Pediatric Advanced Life Support (PALS) – Neonatal Resuscitation Course (NRC) – Critical Incident Stress Debriefing (CISD) (even if you don't join a team)
• Need to do shadowing such as a rotation in pediatrics, OB, med-surg floor.– It takes 80-100 hours of continuing education!
• Cox, M. (1999, February 15). SO, YOU WANNA BE A FLIGHT NURSE?!. Retrieved July 7, 2009, from http://www.seaox.com/wannabe
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Will I get a job immediately when I’m certified?
• Patience is a virtue…• Turnover rate is less than 5% a year
– Because this is such an amazing job!• Hang in there if you want to do this• If work at a hospital already you have a
better chance of getting on a team.• Especially if you know them. NETWORK!
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• http://www.wjhg.com/the7scene/headlines/44563282.html
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Where can I do this?• Childrens & Cardinal
Glennon have nursing teams but ARCH has the helicopter.
• ARCH has 12 locations that service Missouri and Illinois
• AirVac has 10 location that service MO and IL
• Every state has their own companies.
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Who do you take care of?
• Serve the whole community (including vulnerable populations)– Pediatrics– rural
• Locations that don’t have access to a Level I trauma center.
• The nurses that work for Children’s and Glennon transport patients from other hospitals.– They don’t do organ transport.
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Benefits this nursing role provides to the community
• Safe….• QUICK transportation to the hospital
• NOTE: Helicopter is much better transport than ambulance for a critical situation.
• When time is critical, air transport saves valuable minutes. They make a difference between life and death.
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Who does the flight nurse collaborate with?
• Works with paramedics and hospitals.– Paramedics at the scene– MDs give approval for orders– Dispatch regarding transfer patients to hospitals
• They also work with police officers and firefighters– Safely remove patients from accidents/scenes
• The scene can be chaotic but you’re there to get only one patient even if there is 20 patients at the scene.
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How do you promote health and prevent disease in your environment?
• You will see nurses at the hospital DC “field IVs” or other lines started.– Why?
• These situations are dirty.– Before starting an IV, the flight nurse took 3 alcohol
wipes to clean a site and every wipe was filthy.
• You have to try to be as clean as you can while trying to get the patient to the hospital as quick as possible.
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what impact does a flight nurse have on the larger community
• They get a critical care patient out of a harmful situation.
• In rural areas, patients would be at the will of a hospital that may not have the ability to care for a critically ill patient.
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So you think you wanna do this? I DO!!!!
Reference
• 2009). ARCH air medical service - the leader in critical care air transport . Retrieved July 3, 2009, from Arch Air Medical Web site: http://www.archairmedical.com/
• Cox, M. (1999, February 15). SO, YOU WANNA BE A FLIGHT NURSE?!. Retrieved July 7, 2009, from http://www.seaox.com/wannabe
• Gray Interactive Media , (2009 May 7). Flight nurse. Retrieved July 6, 2009, from WJHG Web site: http://www.wjhg.com/the7scene/headlines/44563282.html#
• Nies, M.A, & McEwen, M (Eds.). (2007). Community/public health nursing. St. Louis: Saunders.
• Interview: Chris, RN;Lisa, RN; Jim, Pilot