Job Description

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.

Program Objectives

• 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

Minimum Qualifications

• 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

Preferred Qualifications

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

Curriculum Overview

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

Simulation & Procedural Training

• 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

Certifications Provided

• 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!