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Children's Nebraska is seeking highly motivated Pediatric Nurse Practitioners to join our Pediatric Critical Care Transport Fellowship Program, a 12-month, full-time postgraduate training opportunity designed to prepare fellows for independent practice in high-acuity pediatric transport.

This immersive fellowship provides comprehensive training in ground, rotor-wing, and fixed-wing transport, with a focus on the stabilization and management of critically ill pediatric patients requiring interfacility transfer. The program integrates clinical experience, structured didactics, simulation, and transport operations training within a leading pediatric health system.

Upon completion, fellows will be equipped to deliver evidence-based care across the continuum of pediatric transport, from initial resuscitation through interfacility transfer, in both controlled and austere environments.

• Develop advanced competency in the assessment, diagnosis, and management of pediatric conditions requiring interfacility transport
• Build expertise in transport medicine, aviation physiology, and operational safety
• Enhance procedural proficiency and clinical decision-making in high-acuity, time-sensitive scenarios
• Apply evidence-based practices to optimize outcomes during resuscitation, stabilization, and transport
• Integrate principles of crew resource management and interdisciplinary collaboration

• CPNP-AC - Certified Pediatric Nurse Practitioner - Acute Care Upon Hire Required
• BLS - Basic Life Support through the American Heart Association Upon Hire Required and
• PALS - Pediatric Advanced Life Support within 180 Days Required and
• ACLS within 1 Year Required and
• NRP - Neonatal Resuscitation within 180 Days Required and
• DEA License within 30 Days Required
• Minimum 2+ years' experience in Critical Care Required, 3 years preferred (as CC RN, APRN or combination of both)
• Previous Advanced Practice Provider experience in pediatrics Preferred
• Satisfy all relevant criteria and qualifications outlined in the Medical Staff Policy on Allied Health Professional, required to be credentialed. Required and
• Must have valid driver's license with an acceptable motor vehicle driving record Required and
• Must be able to work in an environment which includes the use of ambulance, helicopter, and airplane patient transport vehicles that results in exposure to non-conventional motions, noise, vibration, fumes and extreme heat/cold. Required and
• Due to the aircraft the Organization utilizes for both rotary and fixed wing, all Transport applicants must be 225 lbs or under at time of hire. Upon Hire Required

• Prior experience in EMS, flight, or critical care transport
• Demonstrated interest in pediatric critical care and transport medicine

Transport & Aviation Medicine Core

• Air medical physiology and gas laws
• Flight stressors and patient impact
• Aircraft systems and scene safety
• Crew resource management
• Fixed-wing, rotor-wing, and ground operations

Pediatric Critical Care Topics

• Pediatric resuscitation and stabilization
• Mechanical ventilation
• Vasoactive medications and hemodynamic monitoring
• Sepsis, SIRS, and MODS
• Pediatric trauma and burn management
• Neurologic emergencies
• Endocrine/metabolic crises
• Surgical emergencies
• Cardiac emergencies
• Advanced airway management
• ECMO principles and transport considerations
• Sedation and analgesia in the transport environment

Neonatal Critical Care Topics:

• Neonatal resuscitation and stabilization
• Prematurity and complications of immaturity
• Congenital anomalies and surgical emergencies
• Neonatal ventilation
• Inborn errors of metabolism
• Hypoxic ischemic encephalopathy and therapeutic hypothermia
• Nutrition, fluids, and electrolytes in neonates
• UVC/UAC placement and management
• Transport of high-risk infants from delivery centers

• High-fidelity simulation of neonatal and pediatric transport scenarios
• Mock codes and full-scale transport drills
• Advanced procedural training, including:
• Chest tube placement
• Intraosseous (IO) access
• Needle decompression
• Central venous access and arterial line placement
• Rapid sequence and delayed sequence intubation (RSI/DSI)
• Supraglottic airway (SGA) placement and cricothyrotomy
• Umbilical line placement
• Lumbar puncture
• Point-of-care ultrasound (POCUS) training

• BLS, PALS, ACLS, NRP (provided if not current)
• Advanced Trauma Life Support (ATLS)
• Pediatric Fundamentals of Critical Care Support (PFCCS)
• Preparation for Neonatal-Pediatric Transport certification (C-NPT)

Children's is the very best for kids and the very best for your career! At Children's, we put YOU first so together, we can improve the life of every child!