The ISOU Advanced Practice Provider position is tasked with delivering medical care to migrants during U.S. Coast Guard Alien Migrant Interdiction Operations and ICE removal missions. Responsibilities include emergency care, consulting, and supporting IHSC facilities. The role requires advanced clinical expertise, on-call readiness, and adaptability in austere environments, including at sea and in flight. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates.
PHYSICAL DEMANDS: Required to perform CPR or emergency care standing and kneeling positions at times in confined spaces. Must have the ability to assist sick, injured, or other during ingress and egress (e.g., may require lifting, dragging, wheeling, or carrying someone who weighs significantly more than oneself). Must be able to lift and carry 50 lbs. of medical equipment 100 yds. without assistance. Incumbent carries equipment when boarding and disembarking the vessels. Must be able to see, hear, and smell with aids if necessary. Must easily alternate between kneeling and standing. Must be able to perform the duties in a stressful and often austere environment with inclement weather and challenging sea states and altitudes without physical limitations. Agency may require incumbent to work extended hours and remain at sea, confined cabin space, or aircraft during inclement weather and ground delays. Must be able to physically able to climb ladders and stairs without impediment. Must be able to tolerate sudden changes in environment, temperature, seasons, altitudes, geographies and weather. Must be able to pass the FAA Class III Flight Physical for Altitude Physiology Chamber orientation.
DUTIES AND RESPONSIBILITIES: The incumbent serves as either a Physician Assistant or Nurse Practitioner with responsibility for providing direct patient care to migrants during Alien Migrant Interdiction Operations (AMIO) and to individuals in ICE custody during removal missions. Performs a variety of unusual and complex professional tasks without close supervision. Operates under U.S. Coast Guard medical protocols and must respond within 24 to 48 hours when on call. Provides medical care aboard cutters, small boats, fixed and rotary-wing aircrafts. Ensures official representation of U.S. government health services at sea. Anticipates and responds to medical needs in collaboration with military, federal, state, and civilian partners. Provides medical guidance as Medical Aircrew Member (MAM), plans patient transfers, and delivers care in remote or austere environments. Ensures continuity of care and patient safety while supporting mission objectives domestically and overseas. Acts as specialty consultant to local regional, and national programs. Advises on policy development, program implementation, and evaluation in compliance with regulations and laws. Reviews and analyzes, prepares written reports, and contributes to the development of medical protocols. Independently establishes evaluation criteria, formulates approaches, and participates in conferences or meetings on significant issues affecting mission performance and public health. Supports ICE Enforcement and Removal Operations (ERO) Field Offices by providing medical guidance, patient care, and planning support. Serves as Federal Emergency Response Official credentialed officer and responds to agency-declared emergencies as directed. Serves as an APP at an IHSC facility. Develops and implements care plans, for patients with complex physical, mental, and social health needs. Performs diagnostic procedures, prescribes treatments, and manages medical equipment and nursing techniques. Exercises independent judgment to protect patient safety and achieve mission readiness. Performs additional program duties and responsibilities as directed by the unit and/or agency. Remains flexible and able to adapt to sudden changes in schedules and work requirements, which may mean leave cancellation if it interferes with unanticipated missions or trainings.