By joining our team, you will become an elite member of one of the nation's leading Level 1 Trauma Centers and a nationally renowned critical care transport program.

You will be exposed to challenging emergency air/ground transport cases within North Carolina, as well as portions of South Carolina, Virginia, West Virginia, and Tennessee, treating all populations from neonate to geriatric.

Patient encounters through Duke Life Flight are some of the most mentally and physically demanding as well as rewarding experiences for team members.  We are looking for individuals with exceptional endurance and an ability to think clearly under strenuous situations.

Additional Considerations

  • Three ground transport bases: Durham, Henderson, and Smithfield
  • Two helicopter bases: Henderson and Smithfield
  • Positions are staffed in rotating 12-hour shifts


Job Requirements

Please click on the arrows below to see general job descriptions. Official job descriptions can be found on the Duke HR Website: Reference the job codes listed below when searching for official job descriptions.

Critical Care Transport Nurse (4024)

General Description

  • Provide comprehensive, safe, effective medical care to patients transported by Duke Life Flight. All positions are 12-hour shifts, day/night rotation with weekends.
  • After orientation to our ground transport units, newly hired employees will be transitioned to flight training as quickly as possible depending on the needs of the program.
  • Strongly prefer experienced ground and/or air transport nurses.

Work Performed

  • Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures
  • Use professional nursing judgment to individualize the plan of care based on assessment of the patients’ baseline needs and response to care
  • Delegate tasks and supervise the activities of other licensed and unlicensed clinical care providers
  • Monitor and initiate corrective action to maintain the environment of care including equipment and material resources
  • Participate in own professional development by maintaining required competencies, identifying learning needs, and seeking appropriate assistance or educational offerings
  • Act as a preceptor and support the development of other staff and formal learners
  • Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities.

Experience Requirements

  • Minimum of 3 years critical care experience preferred with a strong preference for experienced ground and/or air transport nurses.
  • Must have recent direct patient care experience within the last six months of application.
  • Successful completion of BLS, ACLS, PALS, TNCC, and NRP will be required (ITLS or PHTLS preferred)
  • Must have the ability to work in a diverse, autonomous environment.
  • Physical requirements (height/weight restrictions)
    • No greater than 240 lbs in full uniform
    • No greater than 6’4” in height


  • Work requires graduation from an accredited Bachelor of Science in Nursing, Associate Degree or Nursing or Nursing Diploma program.

Emergency Medical Technician (4063)

General Description

  • The EMT Driver will perform a variety of activities associated with Duke Life Flight to include operation of the Life Flight Critical Care Transport ambulance and medical support systems, and assist with operations of associated satellite base and ongoing continuing education outreach programs.

Work Performed

  • Responsible for minor repairs to the unit to include: changing light bulbs, replenishing fluids, tightening nuts and bolts, inspecting tires, etc.
  • Responsible for daily maintenance including fueling and cleaning of vehicle.
  • Responsible for reporting minor and major repairs needs to the site specific Clinical Operations Director.
  • Responsible for assisting nursing staff with patient care as requested to include loading and unloading operation of commonly used equipment and providing family members with information about and directions to Duke.
  • Responsible for replenishing air, oxygen, and medical supplies used during transport.
  • Knowledge of streets and highways within the response area of the mobile intensive care unit.

Experience Requirements

  • Two years’ experience operating an ambulance or fire truck equivalent to the Duke mobile intensive care unit.
  • Two years EMT experience with an active EMT provider
  • Current certification as a North Carolina EMT
  • Current Class C driver’s license


  • Work requires a high school diploma or equivalent degree.

Communications Specialist (4034)

General Description

  • The communications specialist will perform a variety of activities in the Duke Life Flight Communications Center database, mapping systems, and related systems and equipment in support of air medical and ground-based patient transport services.

Work Performed

  • Operate communications center switchboard, two-way radio transmission and receiving console, weather radar system, computer database, mapping systems and related systems and equipment
  • Respond to emergency transport calls and dispatch Duke Life Flight crew according to established procedures
  • Receive incoming calls and set up teleconferences with attending physician(s), flight nurse, referral source and appropriate receiving units; provide information on aircraft or ground transport availability, weather projections, locations and time projections.
  • Recommend appropriate utilization of Duke Life Flight services to medical control officer on duty; outline available options and recommend course of action based on assessment of all relevant factors.
  • Maintain interface with Public Safety to ensure proper coordination of transport services in emergency and trauma-related transport activities.
  • Monitor, read and interpret weather radar information as requested
  • Maintain database on referrals and hospital locations; access, read and interpret county, state and specialized maps for determining locations of accident scenes or referral sites.
  • Provide statistical information as requested to flight crew to include average flight distance, average time, latitudes and longitudes; provide directions for landing sites.
  • Participate in Duke Life Flight educational outreach programs as directed.
  • Enter and record a variety of data and maintain a file of reports, forms, records, and daily log.

Experience Requirements

  • Two years of dispatching experience in 911 control line, fire or police dispatching, air traffic control, hospital-based health or related setting.


  • Work requires the ability to operate radio/console equipment and transmit information generally acquired through a high school education.
  • Requires North Carolina EMT Licensure.

Paramedic (4595)

General Description

The Paramedic will perform a variety of activities associated with the Life Flight Critical Care Transport service to include operation of the Life Flight Ground Critical Care Transport ambulance and medical support systems, and assist with operations of associated satellite base and ongoing continuing education outreach program. The Paramedic will provide direct patient care within their scope of practice for ALS I, ALS II, or BLS patient care transports.


Duties and Responsibilities

Level I (Advanced Life Support Paramedic)

Complete vehicle inspection and documentation each shift and complete a road test of assigned ambulance(s). Responsible for minor repairs to the unit to include but not limited to: changing light bulbs, replenishing fluids, tightening nuts and bolts, inspecting tires, etc. Responsible for daily maintenance including fueling and cleaning of vehicle. Responsible for reporting minor and major repair needs to the site specific Fleet Safety Coordinator, Clinical Team Lead, and/or Program Manager.

· Responsible for assisting with patient care as requested to include loading and unloading, operation of commonly used equipment and providing family members information/directions to Duke.

· Responsible for providing direct patient care on ALS I, ALS II or BLS transports, not to exceed beyond the scope of The Paramedic as defined by the NCOEMS and approved by local medical direction, and documenting in the electronic medical     record.

· Responsible for replenishing oxygen and medical supplies used during transport.

· Demonstrates safe driving skills and ability to use technology to complete missions safely.

· Assist with continuing education outreach programs and public relations events as assigned.

· Provide staffing coverage to all bases as needed. Assist units within Duke University Hospital when necessary.

· Other duties as assigned.

LEVEL II (Critical Care Paramedic)

· Perform all responsibilities specified in Level I.

· Obtain pertinent history and perform a physical examination based on comprehensive knowledge, advanced skills and sound professional judgement. Obtain historical data from an environmental survey, attending medical personnel, patient or significant other, and existing documentation.

· Complete a systematic, rapid primary assessment and a prioritized secondary survey. Analyze and assess available diagnostic data. Revise plan of care as new information becomes available.

· Provide care in a critical care environment utilizing appropriate, timely interventions, per program protocols, in a priority sequence within scope of practice not to exceed standards set by the North Carolina office of EMS (NCOEMS) and local medical direction.

· Utilize Advanced Skills prioritizing the patient???s needs based on potential or actual needs. (I.e. intubation, Rapid Sequence Intubation, needle decompression of tension pneumothoraces, percutaneous cricothryoidotomy, placement of intraosseous and central line).

· Demonstrates proficient use of advanced and basic life support equipment and maintains contact with Medical Control when necessary for protocol deviation.

· Communicate essential information to all appropriate members of the healthcare team. Evaluate patient progress, analyze data, and modify the planning and implementation of care based on patient response throughout the transfer process.

· Communicate between referring and receiving healthcare professionals to ensure continuity of care. Act as a liaison between patients, families, referring healthcare professionals and DUHS staff.

· Plan, organize and maintain equipment and supplies for use before, during and after transport. Perform inventory of transport vehicle every shift with restocking after each transport. Plan for special equipment needs for each transport. (I.e. external pacemaker, intravenous infusion pumps, intra-aortic balloon pump, isolette, baby pod). Maintain equipment repair as needed.

· Provide and maintain a safe environment for fellow crewmembers, the patients, assisting agencies, and ancillary personnel.

· Maintain certifications and advanced skills.

· ADVANCED SKILLS: Intubations (nasal, endotracheal), RSI, and needle decompression of tension pneumothoraces, percutaneous cricothyroidotomy, central line placement (EJ), and intraosseous line placement.

· Mandatory attendance in Surgical Skills Lab, Skills Blitz and Safety Day. When identified to maintain competencies, participation in patient care in clinical areas to include the Operating Room, ICU???s, Labor and Delivery and Emergency Department to maintain advanced skills.

· Identify, develop, implement and evaluate clinical and operational protocols, policies and procedures. Participation in Performance Improvement. Mandatory review (75% attendance per year required) of clinical cases, policies, protocols and procedures in Monthly Peer Review with Medical Director.

· Develop, implement and evaluate educational offerings related to Life Flight for internal and external groups.

· Develop, implement and evaluate research studies. Collect, compile and evaluate clinical and demographic data. Complete required transport paperwork. Participate in multi-institutional research studies. Formulate research studies as needed.


Level I

  • Preferred three years prehospital experience with a moderate volume (15,000-20,000 calls/year) 911 agency.

Level II

  • Minimum of three years (4 years preferred) current ALS experience as a Paramedic in emergency setting with a moderate to high call volume 911 agency (20,000 to 35,000 calls/year) Obtain FP-C within 2 years of hire. If previous Critical Care Transport experience, FP-C required upon hire.



Respiratory Therapist (4250)





If you haven’t already, please utilize the following steps to apply:

  1. Go to
  2. Click on Career Opportunites tab at top of link.
  3. Click on Search by Specialty.
  4. Scroll down to Duke Life Flight.
  5. Click on the job title (EMT, Registered Nurse, Communications Specialist, etc.) that you’re interested in.
  6. Click on the ‘Apply to this job’ button at the bottom of the page

For questions not answered by the above information, please contact the Duke Life Flight office at 1-(800)-362-5433 or via email at