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Flight Nurse

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Date: Feb 25, 2018

Location: Hilo, HI, US, 96701

Company: Envision

Req ID: 105494 

Entity: AMR 

Title: Flight Nurse

Location: Support island service on Hawaii, Oahu, Maui and Kauai

Status: Full-Time


Job Summary:

Utilizes the nursing process to independently deliver nursing care to all ill and/or injured patients aboard fixed wing aircraft, and during ground transportation.

Supervision Received:

The flight nurse will work under Medical direction of the Medical Director, and under the supervision of the Chief Flight Nurse and Management Team.



  1. Provide patient care in a transport environment, both in Fixed-wing aircraft and in ground transport, in accordance with established standards of care. Utilizing the nursing process and AMR AIR Policy/Procedures under the direction of the Medical Director.
  2. Direct patient care utilizing the nursing process and  AMR AIR Policy/Procedures
  3. Documents patient care completely and concisely, maintaining confidentiality of patients records according to HIPPA standards.
  4. Must attend 90% of scheduled teleconferenced staff meetings.
  5. Professional Development.
    1. Maintains proficiency in clinical skills specific to flight nursing.
      1. Oral intubation
      2. Nasal intubation
      3. Esophageal airway
      4. Selleck Maneuver
      5. Needle thoracotomy
      6. Cardioversion
      7. Defibrillation
      8. Peripheral IV insertion/ Intraosseous insertion (EZ-IO)
      9. Nasogastric insertion.
      10. Recognizes own strengths and weaknesses and seeks help from appropriate sources.
  6. Participates in AMR AIR committees as directed by the Chief Flight Nurse.
  7. Participates in Continuous Quality Improvement/Peer Review projects and studies.
  8. Keeps current on new medical developments in critical care by reading professional journals, textbooks, completing required modules and working in critical care areas.
  9. Excellent communication and inter-personal skills are essential to the successful completion of a mission.


Advanced Clinical Skills:

After the completion of orientation, training and evaluation by the Medical Director, Chief Flight Nurse and/or Education Coordinator, the AMC will be capable of providing advance life support and emergency procedures when necessary to patients in their care.  All medication administration and procedures are to be performed according to AMR AIR policies/procedures.

These skills include:  ECG interpretation, ACLS and PALS  procedures, Cardioversion  & Defibrillation, Airway management, including use of oral and nasal airway, BVM,  endotrachial intubation, use of Combi-tube, and appropriate use of Oxygen therapy, Needle thoracotomy in the event of tension pneumothorax, Intraosseous insertion IV fluid management and IV Continuous medication infusion management, EZ-IO.


The flight nurse is responsible for the knowledge of all medications a patient receives.  If a

Drug is unfamiliar to the flight nurse; he/she will utilize all possible resources including “Epocrates” on the “PDA” or the Medical Director to obtain necessary information needed for safe administration.  The flight nurse must have a thorough knowledge of all types of medication including, but not limited to:

  1. Analgesics                                     15.       Bronchodilators
  2. Anesthetics                                               16.       Central Nervous System Stimulants
  3. Anti-anxiety medications                          17.       Diuretics
  4. Antibiotics                                                  18.       Gastrointestinal Medications
  5. Anticholenergics                                       19.       Hormones
  6. Anticoagulants                                          20.       Hypnotics
  7. Anti-convulsant                                         21.       Muscle Relaxants
  8. Anti-depressants                                       22.       Ophthalmic Medications
  9. Anti-dysrythmics                                       23.       Pituitary Medications
  10. Antifungal                                                  24.       Psychotherapeutics
  11. Anti-parasitic                                             25.       Sedatives
  12. Anti-psychotics                                         26.       Serums
  13. Antihypertensive                                       27.       Vaccines
  14. Anti-inflammatory medication (including NSAIDS)



  1. Identifies and assists in the development of appropriate research projects, assists in data collection through involvement with AMR AIR research program.


  1. Maintains a customer service attitude.
  2. Participates in marketing activities of AMR AIR.
  3. Maintains a professional appearance/demeanor at all times.
  4. Promotes harmonious working relationships within AMR AIR and with AMR AIR referral sources.



  1. Actively supports the mission of AMR AIR.
  2. Promotes and creates a positive team spirit. Subscribe to the AMR AIR standards of care.
  3. Actively participates in local and national professional organizations.
  4. Promotes positive community relations using appropriate interpersonal skills.


Professional Conduct: It is expected the flight nurse will:

  • Demonstrate behavior that reflects integrity, supports objectivity, and fosters trust.
  • Provide care without discrimination and, with respect for the rights and dignity of all individuals.
  • Comply with all state and federal laws, especially those which govern and relate to your Professional Practice Act.
  • Avoid any form of conduct that creates a conflict of interest, and shall follow the principles of ethical business behavior.
  • Actively maintain and continually improve professional competence, and represent it accurately.
  • Perform only those procedures or functions in which you are individually competent and which are within the scope of accepted and reasonable practice.
  • Respect and protect the legal and personal rights of patients you care for, including the right to informed consent and refusal of treatment.
  • No confidential information shall be divulged pertaining to AMR AIR, its employees, practices, vendors, clients, patient or family, unless disclosure is required for responsible performance of duty, or required by law.
  • Will not discriminate against other co-workers, patients, families or any person whom you come in professional contact with, based on age, race, gender, religion, cultural differences or sexual orientation. 
  • Will report any and all issues pertaining to personnel, such as, but not limited to, benefits, illness, discrimination, sexual harassment or safety concerns brought to your attention should be reported to your imitate supervisor, management team or the Director of Human Resources.


EOE including Veterans and Disabled

Nearest Major Market: Honolulu
Nearest Secondary Market: Hawaii

Job Segment: Nursing, Gastroenterology, Medical, Ophthalmic, Patient Care, Healthcare

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