Lead Critical Care

Clinical: Central venous catheter care CPAP/BiPAP Ventricular assist device maintenance Advanced airways including supraglottic devices and endotracheal tubes Chest tube maintenance Video-assisted intubation and direct laryngoscopy Extracorporeal Membrane Oxygenation (ECMO) iSTAT interpretation -- CG4, GC8, ABG, Cardiopulmonary serum study results, such as troponins Mechanical ventilation Transvenous pacing Sigma pump infusion Arterial-line monitoring Epicardial pacing NG/OG tube maintenance Central venous pressure monitoring Ventriculostomy monitoring Blood product administration Swan Ganz care/monitoring during transport Administration of medications authorized by the EMS medical director approved protocols Educational Assessment: Ability to differentiate between educational needs and systemic issues. Requires prolonged standing; walking; use of sight, hearing, and touch May be exposed to infectious diseases, blood, or body fluids Risk of injury from patient care Frequently bending, reaching, pushing, pulling, twisting and lifting Must be able to assist pushing/pulling/lifting patients ranging from up to 30 pounds independently or up to 250 pounds with assistance Flexibility to work varied shifts including, daytime, evening, or night shift Can be asked to change primary work location to support clinical needs.

Overview:

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The Adult Critical Care Transport (ACCT) Operations Lead is a pivotal role within Yale New Haven Health, designed to bridge the gap between clinical excellence and organizational education. This individual is a practicing clinician on the ACCT team who possesses a passion for mentorship and professional development. The Operations Lead is responsible for the assessment, planning, and implementation of educational programs that improve the delivery of high-quality care. By utilizing adult learning principles and evidence-based practice, this role ensures the ACCT team remains at the forefront of clinical innovation, safety, and high-reliability standards.

EEO/AA/Disability/Veteran

Responsibilities:

• 1. Provides care utilizing standard operating procedures and protocols for the Critical Care Transport Team, as defined by YNHHS and the EMS Medical Director: a. Critical Care Paramedic utilizes the process of assessment, planning, intervention, and evaluation while caring for patients. b. Critical Care Paramedic provides safe, effective, evidence-based care tailored to the individual needs of the patient and family.
• 2. Effectively executes an advanced skillset and scope of practice authorized and approved by the EMS medical director. Examples may include: a. Advanced medical assessments, critical thinking, and associated problem solving. b. Initiation and management of vasoactive medications for the management of shock and hemodynamic status. c. Initiation and management of sedative medications for critically ill patients when indicated for management. d. Endotracheal intubation, advanced ventilator management, and advanced oxygenation and ventilation support by invasive and non-invasive means. e. Obtaining and management of vascular access, including advanced practices such as IO insertion, and the management of critically ill patients requiring intravenous interventions through central venous access. f. Mastery of thoracic decompression techniques and subsequent management including tube, needle, and finger thoracostomy. g. Intra-aortic ballon pump management and output interpretation. h. Arterial line insertion, management, and interpretation.
• 3. Maintains skillset by participating in required continuing medical education, quality improvement/quality assurance activities, and credentialing, including but not limited to any applicable practice, hospital, or regulatory standards assigned to the individual.
• 4. Provide competent, safe, and effective care to patients by utilizing critical assessment skills, critical thinking, sound decision-making, and communication.
• 5. Collaborate across departments and various environments to ensure safe patient care coordination and patient transfers
• 6. In addition to the Critical Care Transport Paramedic/Nurse, Demonstrates mastery in: a. Vasoactive and sedative medication management. b. Advanced airway management (Intubation, Video Laryngoscopy). c. Mechanical ventilation and invasive hemodynamic monitoring (Arterial lines, Swan-Ganz, CVP). d. Specialized device maintenance (ECMO, IABP, VAD, Ventriculostomies).

Qualifications:

EDUCATION

 

Paramedic: Bachelors degree preferred

 

EXPERIENCE

 

Minimum of 5 years of high-acuity experience (ICU, ER, or Flight/Ground CCT). Previous Critical Transport experience required

 

LICENSURE

 

Current CPR/BLS, ACLS, and PALS. Must hold or obtain FP-C, CFRN, or CCP-C within 18 months of hire. Maintains all certifications required by YNHH and State of CT for Transport duties Completion of IHI Basic Certificate in Quality and Safety and NAEMSP Quality and Safety course within 1 year of hire Paramedic: Current unrestricted Connecticut Paramedic licensure

 

SPECIAL SKILLS

 

Clinical: Central venous catheter care CPAP/BiPAP Ventricular assist device maintenance Advanced airways including supraglottic devices and endotracheal tubes Chest tube maintenance Video-assisted intubation and direct laryngoscopy Extracorporeal Membrane Oxygenation (ECMO) iSTAT interpretation -- CG4, GC8, ABG, Cardiopulmonary serum study results, such as troponins Mechanical ventilation Transvenous pacing Sigma pump infusion Arterial-line monitoring Epicardial pacing NG/OG tube maintenance Central venous pressure monitoring Ventriculostomy monitoring Blood product administration Swan Ganz care/monitoring during transport Administration of medications authorized by the EMS medical director approved protocols Educational Assessment: Ability to differentiate between educational needs and systemic issues. Team Education: Independent ability to deliver healthcare education using technical instruction and leadership by example. Analytical Savvy: Proficiency in using data-driven metrics to guide restructuring of future learning opportunities. Flexibility: Ability to handle multiple assignments simultaneously and adapt to changing clinical needs.

 

PHYSICAL DEMAND

 

Requires prolonged standing; walking; use of sight, hearing, and touch May be exposed to infectious diseases, blood, or body fluids Risk of injury from patient care Frequently bending, reaching, pushing, pulling, twisting and lifting Must be able to assist pushing/pulling/lifting patients ranging from up to 30 pounds independently or up to 250 pounds with assistance Flexibility to work varied shifts including, daytime, evening, or night shift Can be asked to change primary work location to support clinical needs