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- The End of the 72-Hour Wait: A New Standard for Business Aviation Medical Support
Business aviation is built on a single, non-negotiable promise: time. The industry exists because high net worth individuals, executives, and families cannot afford to be tethered to the inefficiencies of the commercial world. When a Principal says “go,” the machinery of private aviation moves. Fuel trucks roll. Flight plans are filed. Slots are secured. Crews are positioned. Catering is sourced. The operation is ready. Yet there is a glaring contradiction inside this ecosystem. If that same Principal has a medical need, the system suddenly slows down. A broken bone, a post-surgical requirement, a complex chronic condition, or a fragile recovery can bring the entire operation to a halt. The same operators who can launch a Gulfstream in two hours are forced to tell their client: “We need 24 to 72 hours to arrange medical support.” In a world that lives at supersonic speed, waiting three days for a medical escort is not acceptable. For too long, the travel medical assistance layer of private aviation still leans on commercial airline workflows, multi-day activation windows, and a staffing model that settles for adequacy instead of expertise. The industry has evolved. The medical support model has not. I refuse to accept delay as a standard. If the jet is ready, the care should be too. The new reality of private jet medical support is simple: clinical precision, air ambulance mindset, and rapid deployment that matches the pace of business aviation. Air Nurses is not a repackaged commercial medical escort model. It’s a new category of aviation medical support all together. The Truth About 72 Hours: When That Timeline Is Necessary (And When It Is Not) If you are a charter broker, family office manager, or Director of Aviation, you have heard the explanations for why medical staffing “has to” take days. The truth is that the 72-hour timeline is not random. It is baked into a specific business model that was built for commercial airlines and insurance-driven transport. It is not built for private jets. To understand why it fails business aviation, we have to look at how it works. 1. The Commercial vs Private Disconnect The single biggest driver of the 72-hour delay is reliance on commercial airline infrastructure. When a traditional medical escort company uses commercial flights for transport, even in business or first class, they are dependent on the airline’s internal medical process. That includes: MEDIF submission. Extensive medical paperwork must be submitted to the airline’s medical desk for review. Approval queue. The airline’s physicians and nurses must review the documentation, approve oxygen requirements, confirm fit-to-fly status, and coordinate seating. This often takes 24 to 48 hours before a single seat is confirmed. Routing restrictions. Deployment is limited to scheduled airline routes and availability. Positioning flights or last-minute changes are complicated and sometimes impossible, especially for commercial stretcher cases which require specific aircraft configuration and extra approvals. That model may be acceptable for commercial airline travel. It is fundamentally misaligned with how business aviation operates. The Air Nurses difference: In private aviation we are not waiting on an airline medical desk. Air Nurses works under physician medical direction. Our Medical Director can review documentation and approve fit-to-fly status in real time. That decision is made by a clinician who understands both medicine and flight that moves operations in real time. We follow your schedule, not the commercial airlines. 2. The Insurance Wait: Cash vs Coverage Traditional medical transport is also deeply tied to the insurance model. When a patient relies on insurance coverage for a medical flight, the process slows down again: Payer authorization. The transport agency must wait for the insurance company to approve the necessity, method, and cost of the transport. This can be a reason for a 72-hour stall. Vendor limitations. Even when travel insurance is involved, using it usually means accepting only the vendors on that payer’s list. Those vendors are often geared toward commercial escorts or full air ambulance, not private jet support. That might make sense for a commercial passenger dependent on coverage. It does not make sense for an HNWI principal, a corporate owner, or a family with access to private aviation. The Air Nurses difference: Our model is created for high net worth and ultra-high net worth clients where speed is the ultimate currency. We remove the insurance delay entirely. When you need travel medical assistance on a private jet, we deploy. We gladly provide clinical documentation so a client or family office can pursue reimbursement later. But we do not let an insurance adjuster dictate when a medical deployment can begin. 3. Staffing: Deploying a Clinician vs Deploying a Desk The 72-hour lag often hides another reality: the agency does not have a ready-to-deploy clinical team. Instead, they assemble escorts when requests come in and because they are used to commercial timelines you end up with: The case manager. Pulled off a desk to escort a client. It isn’t the primary role but they go when requested and usually takes a few days to arrange. They may not have been clinically active at the bedside or have a recent experience with high-acuity patients. The commercial escort. A nurse who flies often on airlines but lacks formal air medical training, air ambulance experience or CFRN and advanced certification. The companion nurse. A nurse serving primarily as a high-end companion. They are present for comfort and reassurance, not intervention. The non-medical escort. A purely logistical chaperone focused on wheelchairs, paperwork, and bags, without the ability to assess or treat deterioration in flight. From the passenger’s perspective, all of these options can look like “travel medical assistance.” In reality, the capability varies dramatically. The Air Nurses difference: We do not scramble for whoever is available. Air Nurses deploys Certified Flight Registered Nurses or equivalent specialty clinicians. Our nurses maintain active practice in air ambulance critical care environments. They are trained in aviation physiology, altitude medicine, and managing complex patients in aircraft environments. Defining the Capability: Air Ambulance Mindset, Private Jet Comfort There is a large middle ground of patients who are too sick to fly alone but do not require a dedicated air ambulance: The post-surgical executive who needs pain control, mobility assistance, and monitoring. The stroke survivor returning home for rehabilitation close to their treating neurologist. The elderly parent with mobility issues and a complex medication list. The neonate or pediatric patient who needs continuous observation and pediatric-specific support. These passengers do not just need a reassuring presence. They need a flight nurse. Air Nurses brings air ambulance mentality without the aircraft. We turn a Gulfstream, Challenger, or Global into a medically safe environment without changing what the aircraft is. You fly on your own aircraft or charter of choice, with your preferred crew, and keep your family together. We layer clinical oversight quietly into that experience. A Cost-Conscious Alternative Air Ambulances are essential, but their cost can be astronomical because you are paying for a dedicated, specialized aircraft, the full air medical crew, and often the fixed-wing operator’s immediate readiness infrastructure. Because Air Nurses utilizes the client’s or chartered aircraft, we can often significantly beat the cost of an air ambulance while delivering in-flight care. This is not just a luxury option; sometimes it is the most financially prudent, medically sound choice for stable, fit-to-fly patients needing continuous clinical judgment. Especially for those who may be immunocompromised and unable to travel commercially. The Gear: Why “A Kit” Is Not Enough When a broker books a medical flight, very few ask the most important question: “What does your nurse actually bring on board?” A standard escort may arrive with a stethoscope, a blood pressure cuff, and good intentions. What medical escorts carry varies widely. Our clinicians deploy with an Advanced Cardiac Life Support level medical kit. Think of it as a hospital crash cart condensed into a discreet medical case that is built for private aviation. What we carry that others often do not: Cardiac monitoring and AED. We have the ability to monitor cardiac rhythms, not just a radial pulse. Advanced airways. If a patient stops breathing, we have the tools to establish and secure an airway at altitude. Emergency pharmacology. We carry medications to manage cardiac events, seizures, severe pain, and allergic reactions during flight. IV and IO access. We can establish intravenous or intraosseous access to deliver fluids and medications when every minute matters. Most of the time, that level of readiness looks quiet and uneventful to everyone else in the cabin. That is the point. At 43,000 feet, you cannot call 911. In that moment, you are 911 with whoever and whatever you have onboard. Flight Nurse vs Medical Escort: The Human Variable Equipment is only as effective as the clinician behind it. This is where the distinction between a nurse who flies, and a true flight nurse becomes critical. We do not hire clinicians who simply “love to travel.” Every Air Nurse is an actively practicing Registered Nurse with three to five years of real Emergency Room or Intensive Care Unit experience and current air ambulance transport experience, because aviation medicine demands clinicians who are clinically sharp, not rusty. Each team member holds the CFRN (Certified Flight Registered Nurse) credential—the gold standard in flight and transport nursing—along with ACLS (Advanced Cardiovascular Life Support), BLS (Basic Life Support), PALS (Pediatric Advanced Life Support), NRP (Neonatal Resuscitation Program), and TPATC (Transport Professional Advanced Trauma Course). They are trained in the National Incident Management System through NIMS 100, 200, 700, and 800, complete HazMat and emergency procedures training, following CAMTS (Commission on Accreditation of Medical Transport Systems)–level expectations, and maintain ongoing aviation-specific continuing education. Your passengers deserve a clinician who has been tested in real medical transport environments not someone who simply “has flown before”. The Physiology of Flight A patient who is stable on the ground is not automatically stable in the air. Cabin pressure, relative hypoxia, dehydration, pain, anxiety, and positioning all change the equation. A flight nurse is trained to: Anticipate how altitude and cabin pressure will affect a specific diagnosis. Adjust oxygen and ventilation strategies to match the flight profile. Differentiate turbulence-induced anxiety from true physiological distress. Know when to request a lower cabin altitude or a change in profile from the pilot. This is business aviation medical support done correctly. It is proactive, not reactive. It is the difference between a smooth, on-time arrival and an in-flight emergency or diversion. Confidentiality & Compliance: The Air Nurses Standard of Discretion For our clientele, privacy isn't a bonus—it's a requirement. The medical event of a Principal, their family member, or a key executive is highly sensitive information that must be protected. We adhere to the strict principles of HIPAA compliance on every mission, guaranteeing unparalleled discretion: Minimal Disclosure to Crew: We operate on a need-to-know basis. Pilots and flight crew are only briefed on information essential for flight safety and operational readiness (e.g., oxygen requirements, mobility limitations). The client's specific diagnosis or medical history remains strictly confidential. We must obtain consent prior to release of any information. Secure Documentation: All medical records, intake forms, and flight documentation are handled and stored in compliance with the highest federal privacy standards. We use secure channels for all communication with the family office or the principal’s medical team. Discreet Presence: Our clinicians understand and integrate into the private aviation culture. Monitoring happens quietly, and care is provided without fanfare. We are there to enhance the luxury experience, not disrupt it by drawing attention. Professional Boundaries: Our Flight Nurses are trained in professional protocol, ensuring zero leakage of information and maintaining strict boundaries with all staff and family members throughout the mission. Your privacy is protected. Period. Case Study: The Repatriation That Kept a Family Together A mission that illustrates the gap between traditional models and what is now possible. The patient: An 84-year-old male HNWI. The event: A fall while attending an event across the country, resulting in a subdural hematoma and fractured shoulder. The status: Stabilized and discharged, but unsteady on his feet, unable to use his right arm, and requiring close neurological monitoring. The goal: Urgent medical repatriation home to his primary surgeon and his family. The hospital and family wanted him fly with medical supervision. A traditional air ambulance could only accommodate one additional passenger, and he didn’t need that level of care. The family, a party of five, didn’t to split up. The Air Nurses solution: We received the call from a broker early Sunday morning and, within two hours, we completed the clinical review, confirmed fit-to-fly status, conducted telemedicine evaluation, received report from the facility and dispatched a flight nurse to meet the client at the hospital. Our nurse went to the hospital bedside, coordinated discharge, transport was waiting outside. We accompanied the client and family to the FBO and assisted boarding the private jet with the entire family. During the flight, the nurse monitored vital signs, managed pain, assisted with mobility, and kept careful watch on his neurological status. The family stayed together. The trip occurred on their preferred aircraft, with their preferred crew, on their timeline. From the operator’s perspective, the flight executed as planned. Behind the scenes, the medical risk was actively managed door to door. The result was clinical oversight delivered in the comfort and dignity of private aviation, without the delay. Specialty Care: NICU, OB, and Pediatrics The generalist medical escort model fails completely when it comes to the most vulnerable passengers. You cannot use adult equipment on a baby, and you cannot manage a high-risk pregnancy with a nurse who has never practiced obstetrics. Air Nurses maintains specialized capability for maternal, neonatal, and pediatric transport: The right clinician match. NICU infants are managed by NICU-trained flight nurses. Pediatric patients are matched with pediatric specialists. High-risk pregnancy cases are paired with OB-experienced. All our clinicians are still experienced air ambulance flight clinicians too even the specialized ones. Pediatric-specific equipment. We carry pediatric dosing guides, infant-sized airways, and child-specific monitoring tools standard in every one of our medical kit that simply do not exist in most other kits. For family offices managing surrogacy, young families traveling globally, or complex pediatric patients, the distinction is not academic. It is safety. The Broker and Operator Advantage: Built For Your Operation For charter brokers and operators, bringing a third-party medical team on board can feel like a risk. We designed Air Nurses to integrate cleanly with Part 91 and Part 135 operations. No crew disruption. Our clinicians are trained in AMRM and CRM, so they understand flight deck authority, sterile cockpit rules, and emergency procedures. We brief the PIC on what matters and then manage the medical quietly in the cabin. Discreet presence. We also train in hospitality, so our demeanor aligns with your inflight service. Monitoring is unobtrusive, interventions are calm, and the white-glove experience remains intact. Global reach, U.S. standards. Our nurses operate worldwide with U.S. critical-care and CFRN-level standards, and we handle deployment logistics so your team does not have to. Risk reduction. By partnering with a licensed, insured, and clinically specialized team, you add a layer of protection for your operation, your crew, and your principals. We are built to be the clinical partner that fits into your existing ecosystem of brokers, operators, and security providers. Conclusion: Business Aviation Deserves Better Than 72 Hours The era of slow activation, lightly equipped escorts, and normalized 72-hour delays should be over. Business aviation was never meant to wait for commercial airline paperwork and insurance queues. It deserves medical support that matches its own standards of speed, precision, and discretion. Air Nurses is that answer. We are not an air ambulance. We are not a traditional commercial medical escort service. We are a new category of aviation medical support designed for private jets and the people who rely on them. We offer: Speed. Deployment in hours, not days. Capability. ACLS-equipped, critical care trained flight nurses with real air medical backgrounds. Flexibility. Door-to-door service that keeps families together and honors your preferred aircraft and routing. Reliability. A team that stays ready, so your operation never has to wait. If you want medical readiness that moves at the speed of business aviation, not 72 hours behind it, let’s talk. Air Nurses is available 24/7/365 with clinicians who are prepared to move when you are.
- ✈️ The Cost of Diverting: How Air Nurses’ Concierge Flight Nurses Prevent Flight Disruptions
A Gulfstream G650 was cruising smoothly at 41,000 feet when a passenger complained of sudden chest pain. The crew did everything right — they checked vitals, administered oxygen, and stayed calm — but without the proper medical equipment or a trained clinician on board, they couldn’t rule out a cardiac event. Within minutes, the pilot made the call: divert. The aircraft landed safely, but the ripple effect was massive — more than twelve hours on the ground, disrupted itineraries, frustrated clients, and tens of thousands of dollars in unexpected expenses. This moment highlights a hard truth in private aviation: without expert medical oversight on board, operators often have no choice but to divert. And that’s exactly the risk Air Nurses was built to eliminate. When Time, Safety, and Reputation Are on the Line In private aviation, time isn’t just money — it’s reputation, logistics, and safety all in one. Every minute a jet sits on the ground unexpectedly costs operators thousands of dollars and clients immeasurable frustration. At Air Nurses , we understand that one medical incident can transform a seamless flight into a costly diversion. That’s why our team of CFRN-certified concierge flight nurses provides the highest standard of in-flight medical care, ensuring every mission continues safely, smoothly, and without interruption. Understanding the True Cost of a Diversion The Hidden Financial Impact For charter companies and private operators, a diversion isn’t just an inconvenience — it’s a financial storm. An unscheduled landing can trigger: Unplanned landing and handling fees at alternate airports Crew duty-time extensions and mandatory rest periods Repositioning flights to return the jet to its intended destination Ground ambulance and medical facility charges Passenger dissatisfaction and potential refunds What may start as a precautionary landing can quickly accumulate tens or even hundreds of thousands of dollars in additional costs. The Ripple Effect on Operations and Reputation The financial hit is only part of the problem. A single medical diversion can throw off tightly coordinated schedules, delay follow-on charters, and damage client confidence. In private aviation, reputation is everything — and a poorly handled incident can echo across your brand image. A Real-World Perspective Flight diversions happen more often than most operators realize. In fact, leading aviation medical services report that medical issues account for up to 7–10% of all in-flight diversions — many triggered by symptoms that could have been safely managed on board with trained medical personnel present. That statistic underscores a key truth: without expert medical oversight, flight crews are left with only one safe option — divert. And that’s precisely why Air Nurses exists. Our team of CFRN-certified in-flight nurses is trained to assess, treat, and communicate in real time with ground medical control. By managing conditions early and decisively, we help operators avoid the enormous costs, delays, and reputational damage that can follow an unnecessary diversion. ( Source: MedAire Case Study – Diversion Due to Unconfirmed Chest Pain ) Air Nurses: Your Risk-Mitigation Partner in the Sky The Role of a Concierge Flight Nurse An in-flight nurse from Air Nurses is far more than a trained medical escort. Each nurse is a board-certified clinician with extensive critical-care and aviation medicine experience. Our concierge flight nurses bring hospital-level skill to the sky — monitoring vitals, administering medications, managing oxygen levels, and coordinating with ground medical teams in real time. This ensures that medical concerns are stabilized before they escalate into emergencies. How Air Nurses Prevent Diversions Air Nurses’ process begins before the wheels leave the ground. Every mission starts with comprehensive pre-flight medical screening and coordination with both the aircraft operator and destination medical partners. If symptoms appear mid-flight, our nurses are trained to evaluate and intervene immediately. Many diversions are prevented simply because a highly skilled clinician can determine that a passenger is stable enough to continue safely — something a flight crew alone cannot assess. Pre-Flight Planning and Risk Assessment Each Air Nurses mission includes: Medical history review and passenger assessment Pre-flight coordination with charter and flight crew Custom medical kits calibrated for the flight profile Continuous monitoring throughout the journey This proactive model dramatically reduces risk, ensuring operators maintain control of their schedules and passengers travel with confidence. Concierge Care: What Sets Air Nurses Apart Beyond Traditional Medical Escorts Unlike standard medical escorts who typically travel on commercial airlines, Air Nurses specializes exclusively in private aviation and high-net-worth client travel . Our services integrate seamlessly into the luxury travel experience — blending world-class medical readiness with the privacy and personalization expected in private flight. Other services focus primarily on commercial airline logistics. Air Nurses operates within the private-jet ecosystem, aligning medical expertise with the precision and confidentiality demanded by elite travelers. A Team Built on CFRN Excellence Every member of the Air Nurses team holds the CFRN (Certified Flight Registered Nurse) credential — the gold standard of flight nursing. This advanced certification represents mastery in aviation physiology, critical-care response, and emergency management in high-altitude environments. By employing only CFRN-certified professionals, Air Nurses guarantees that clients receive the highest level of clinical competency available in the industry. This certification is what sets Air Nurses apart — it’s not just medical care; it’s aviation medicine practiced at the highest level. The Human Touch of Private Duty Travel Nursing Our nurses also serve as private duty travel nurses , providing one-to-one support for clients who require ongoing medical care beyond the flight. Whether it’s post-operative recovery, chronic illness management, or compassionate assistance for an elderly traveler, Air Nurses ensures continuity of care from doorstep to destination. Each client receives personalized, discreet service designed around their health needs — ensuring travel is not only possible but comfortable and dignified. Quantifying the Savings: Diversion vs. Prevention The True Cost of a Diversion The price of diverting a private jet can range from $30,000 to $200,000+ , factoring in alternate airport fees, crew overtime, fuel waste, passenger accommodations, and reputational damage. For international operators, costs can escalate even further due to customs issues, medical coordination, and extended ground handling. The Cost of Preparedness By contrast, engaging Air Nurses for a dedicated concierge flight nurse represents a small fraction of that potential loss. For the cost of one mission-ready nurse, operators gain: Immediate clinical decision-making on board Reduced chance of diversion Higher passenger satisfaction and safety ratings Stronger operational reliability It’s an investment in certainty — one that often pays for itself the first time an in-flight concern is managed without diversion. Real-World Impact Air Nurses has successfully supported missions where early intervention prevented costly, reputation-damaging diversions. Our nurses have stabilized cardiac irregularities, respiratory issues, and medication complications in the air — allowing clients to complete their flights safely. Each of these moments represents thousands in avoided expenses and, more importantly, an uninterrupted journey. Integrating Air Nurses into Private Aviation Operations Seamless Coordination with Operators Air Nurses works directly with flight departments, brokers, and private operators to ensure total alignment between medical and aviation teams. From pre-flight coordination to post-flight reporting, every step is streamlined to fit into existing flight operations. Our team communicates directly with flight crews and ground medical control, ensuring that everyone involved has the information they need to make confident, timely decisions. Equipment and Standards Each Air Nurses professional travels with a fully equipped medical kit — including advanced monitoring tools, emergency medication, and oxygen systems. Equipment is calibrated and approved for aviation use, meeting FAA and international standards. This readiness allows our nurses to operate independently of onboard emergency kits — providing a complete, self-sufficient layer of medical protection. Confidentiality and Client Experience For high-profile passengers, privacy is paramount. Air Nurses personnel are trained in discretion and accustomed to working with VIP, corporate, and celebrity clients. Our goal is simple: deliver world-class medical expertise in a way that enhances, not intrudes upon, the luxury travel experience. The Air Nurses Advantage: Expertise, Preparedness, and Peace of Mind A Partnership for Safer, Smarter Travel Choosing Air Nurses isn’t just about having a nurse on board — it’s about eliminating uncertainty from private air travel. Our combination of clinical excellence, aviation experience, and proactive planning gives operators and passengers alike complete peace of mind. When a potential medical issue arises mid-flight, our nurses provide immediate evaluation and treatment — allowing pilots and operations teams to make informed decisions without rushing to divert. The Gold Standard in Aviation Medicine With every Air Nurses mission, you’re not just hiring a nurse — you’re securing a CFRN-certified aviation medical expert backed by years of critical-care and flight experience. That’s the gold standard our industry demands — and it’s the standard Air Nurses delivers on every flight. Conclusion: The Cost of Diverting vs. the Value of Air Nurses In private aviation, there’s a clear choice between reacting to problems and preventing them. A single diversion can cost hundreds of thousands of dollars, disrupt operations, and damage reputation. Engaging Air Nurses transforms that risk into reliability. Our concierge flight nurses , private duty travel nurses , and in-flight medical experts protect not only your passengers but also your mission and your bottom line. When the unexpected happens at 41,000 feet, Air Nurses ensures the only thing that’s elevated — is the standard of care.
- Aircare International and Air Nurses Join Forces to Strengthen In-Flight Medical Support in Business Aviation
When lives depend on fast, informed decisions, experience matters. That’s why Aircare International and Air Nurses have come together in a partnership focused on one goal — raising the standard of in-flight medical care for business aviation. For years, both organizations have shared the same commitment: to make every flight safer and more prepared for medical events that can happen anywhere, at any altitude. Now, that shared vision becomes a coordinated effort. Through this collaboration, Air Nurses brings decades of bedside and air medical experience — professionals who understand the realities of patient care in motion. Aircare International contributes its trusted infrastructure and training expertise, ensuring crews are equipped and supported before, during, and after every mission. “In aviation medicine, preparation isn’t optional — it’s what saves lives,” says Air Nurses founder Ericka Essington . “This partnership connects two teams who know the demands of the cabin and the realities of care delivery. Together, we’re making sure every flight crew has access to the right support, no matter where they are in the world.” This partnership represents a new chapter in proactive, professional in-flight medical readiness — one where business aviation clients can trust that the people caring for them are trained, connected, and supported by the best in the industry. “Working with Air Nurses allows us to maintain consistent safety and preparedness standards, while offering a seamless experience for both passengers and flight crews.”— Karl Kamps, VP of Crew Staffing and Emergency Telemedicine See the announcement on Linkedin , AP Newswire , AIN , and Corporate Jet Investor .
- Quality Assurance Beyond the Hospital Walls
Implementing auditing, outcome tracking, and continuous improvement in an aviation-based care model By Phebe McKay Let’s be honest — healthcare quality shouldn’t stop at the hospital doors. When patients are in the air, they’re still under our care. And just because the environment changes — from a hospital room to a jet cabin — doesn’t mean our standards should. If anything, they need to be tighter. I’ve spent years in aviation-based care. I’ve seen what works and what doesn’t when it comes to delivering safe, high-quality service in an environment with no backup, no hallway consults, and no room for error. What I’ve learned is this: The best teams treat every transport like it’s a mobile ICU, with the same level of accountability you’d expect in any brick-and-mortar facility. So how do we make that real? 1. Audit Like It Matters — Because It Does In hospitals, we audit everything: hand hygiene, medication safety, documentation. But in aviation-based care, audits often get treated as a formality — or worse, skipped entirely due to time constraints. That’s a mistake. Post-transport audits need to be more than check-the-box exercises. They should capture: Clinical decision-making under pressure Adherence to protocols despite environmental constraints Communication patterns with the sending/receiving teams Equipment performance and any failure points Done right, audits don’t just protect your organization — they teach. They offer a chance to spot patterns, uncover training needs, and tighten processes before problems escalate. 2. Track Outcomes — Even When It’s Hard Measuring outcomes in transport is tricky. We don’t own the whole episode of care. But that doesn’t mean we’re off the hook. We can track things like: Pre- and post-transport vitals Response to interventions en route Unplanned events (e.g., hypotension, airway issues) Readmissions related to transport complications And we should be talking to partner hospitals to follow up on patient outcomes. It’s not always easy to get that data — but building those relationships pays off. It helps us improve, build credibility, and speak with confidence about our impact. 3. Build a Culture of Real-Time Feedback One of the biggest shifts we made in our own program was encouraging peer review and self-reporting that’s non-punitive but action-oriented. Here’s what that looks like: Short debriefs after every flight Open discussions about near misses A team-wide commitment to continuous learning The truth is, most people want to do the right thing. But they need permission and structure to talk about what went wrong — and how to make it better. 4. Invest in Improvement, Not Just Compliance Compliance is the floor, not the ceiling. If your program is only focused on passing inspections or checking regulatory boxes, you’re missing the point. Instead, we aim for: Ongoing education tailored to real cases Scenario-based training for rare but critical events Simulation audits to test readiness, not just knowledge You can’t improve what you don’t measure — and you can’t grow a high-performing team without systems that support honest evaluation and feedback. Bottom line? Aviation-based healthcare deserves the same rigor as any hospital. When we raise the bar on quality assurance — through smarter audits, better tracking, and a culture of learning — everybody wins. Patients are safer. Teams are sharper. And the entire industry moves forward. That’s what excellence looks like at 30,000 feet.
- Aircare International and Air Nurses Announce Partnership to Enhance In-Flight Medical Support for Business Aviation
FOR IMMEDIATE RELEASE Tacoma, WA – Aircare International, a global provider of in-flight medical support and emergency telemedicine, has announced a partnership with Air Nurses, a provider of professional medical escort services. The partnership is designed to improve the availability and quality of medical support for business aviation clients. “Air Nurses fills a critical gap for business aviation clients when medical escort is needed,” said Ericka Essington, Founder & CEO of Air Nurses. “Our speed of response, clinical caliber, and discretion align with Aircare International’s standards of safety and preparedness, which is why we have chosen them as our primary partner for emergency in-flight telemedicine support.” A medical escort or companion provides non-emergency monitoring and support for passengers during travel, focusing on comfort and continuity of care. A certified flight nurse (CFRN), however, is trained and credentialed to deliver advanced medical care in the air. These nurses understand flight operations, cabin safety, and the physiological effects of altitude, allowing them to manage more complex medical situations during transport. Through this partnership, clients will have access to coordinated medical services that combine Aircare International’s expertise in emergency telemedicine with Air Nurses’ clinical team. This approach is intended to provide rapid deployment of medical professionals who meet high standards of care and operational reliability. “This partnership enables us to provide clients with timely access to experienced medical professionals during flights,” said Karl Kamps, Vice President of Crew Staffing and Emergency Telemedicine at Aircare International. “Working with Air Nurses allows us to maintain consistent safety and preparedness standards, while offering a seamless experience for both passengers and flight crews.” The collaboration highlights both companies’ commitment to delivering professional, dependable medical support services for the business aviation sector. By combining resources and expertise, Aircare International and Air Nurses aim to improve operational readiness and support clients’ medical needs in a range of situations. The partnership ensures that business aviation operators can rely on coordinated services for in-flight medical escort, offering assurance to passengers and flight crews. Services are designed to meet clinical and safety standards while providing clear communication and logistical support. For more information about Aircare International, visit https://www.aircareinternational.com . For more information about Air Nurses, visit https://www.airnurses.com . ABOUT AIRCARE INTERNATIONAL For over 40 years, Aircare International has provided peace of mind to aviation organizations as a trusted partner for safety training, telemedicine, and staffing services. Based in Tacoma, WA, Aircare specializes in addressing the intricate challenges of aviation safety with unmatched expertise and commitment. ABOUT AIR NURSES Air Nurses provides specialized in-flight medical escort services for business aviation clients, offering highly trained medical professionals who deliver expert care, rapid response, and discreet support. The company is committed to safety, professionalism, and reliability, ensuring seamless medical assistance for passengers whenever and wherever it is needed.
- Glossary of Terms
Air Nurses Glossary of Aviation & Medical Terms When people first explore medical support in private aviation, the language can feel overwhelming. You’re suddenly dealing with two specialized industries — medicine and aviation — each with their own acronyms and shorthand. A simple word like escort might mean something very different in this context than it does elsewhere. This glossary is meant to translate that language into plain English. By understanding the terms, you’ll have more confidence in the decisions you make for yourself, your family, or your clients when arranging care in the air. Aviation Terms Altitude – The height of the aircraft above sea level, measured in feet. Higher altitudes can impact the way certain medications are processed by the body and how the body reacts. They can also mean lower oxygen levels, which can impact patients with certain conditions. Cabin Pressure – The controlled air pressure inside the cabin, regulated so passengers experience the equivalent of a lower altitude (often 6,000–8,000 feet, even if the aircraft is flying at 40,000). Crew Resource Management (CRM) – A training approach that teaches pilots, medical crew, and flight staff to communicate effectively, share information, and manage risks as a team. FAA (Federal Aviation Administration) – The U.S. government body that oversees aviation safety, including rules for aircraft operations and medical equipment onboard. FBO (Fixed Base Operator) – A private aviation terminal where services such as fueling, maintenance, and passenger boarding take place. Often the departure or arrival point for medical escort flights. Jet Cabin – The pressurized passenger area of a private jet. Air Nurses adapt medical care for this unique environment. Part 91 vs. Part 135 – FAA operating rules. Part 91 covers private, non-commercial flights; Part 135 covers charter flights. Many medical escort services operate under Part 135. Turbulence – Air movement that causes bumps during flight. It can complicate patient care, requiring experienced flight nurses to anticipate and adjust. Medical Terms A&P (Assessment & Plan) – A structured approach clinicians use to evaluate patients and create a care plan. Used in-flight the same way as at a hospital bedside. ALS (Advanced Life Support) – Higher-level emergency medical care involving advanced airway management, cardiac monitoring, and IV medications. BLS (Basic Life Support) – Essential emergency interventions like CPR and oxygen, typically not involving advanced equipment or medications. CFRN (Certified Flight Registered Nurse) – A credential that proves a nurse has advanced knowledge and expertise in flight and critical care transport. This certification is issued by the Board of Certification for Emergency Nursing (BCEN). This is the gold standard for flight nurses. Critical Care – Medical care for patients with life-threatening conditions requiring close monitoring and advanced interventions. Hypoxia – Low oxygen in the blood or tissues. A common risk at altitude if not carefully managed. Oxygen Saturation (SpO₂) – A measurement of blood oxygen levels, usually monitored continuously during flight. Portable Medical Equipment – Devices such as ventilators, infusion pumps, or cardiac monitors that are compact, FAA-approved, and safe for in-flight use. Telemetry – Technology that allows real-time monitoring of vital signs (such as heart rhythm) in-flight. Service-Specific Terms Air Ambulance – A fully outfitted aircraft (often a jet or turboprop) configured like an ICU, with specialized equipment and staff for emergent transport. Medical Escort – A healthcare professional (like a nurse or paramedic or EMT) who accompanies a stable patient on a non-emergency journey, often on a commercial flight, to provide care Medical Companion – A lower-acuity option that provides non-medical support and supervision to patients, assisting with companionship, daily activities, and safety. Stretcher Flight – A commercial aircraft modified with a stretcher setup for patients who must remain lying down. Requires airline and medical approvals. Wheelchair Assistance – Support arranged through airlines or airports to help patients move between gates, terminals, or aircraft with minimal strain. Professional & Safety Terms Board of Certification for Emergency Nursing (BCEN) – The agency that administers the CFRN credential (as well as CEN, CPEN, TCRN, etc.). Chain of Care – The coordinated transfer of responsibility from ground medical providers to flight nurses and back, ensuring continuity. Fit-to-Fly Evaluation – A medical assessment performed to determine if a patient is stable and safe to travel by air. Protocols – Pre-established medical guidelines that flight nurses follow under supervision of the physician medical director to ensure safe, standardized care in the air. Scope of Practice – The legally defined boundaries of what a nurse, paramedic, or physician can do, based on training and licensure. Most aviation glossaries focus on pilots, and most medical glossaries focus on hospitals. This one is built for the overlap — the unique space where medical care happens inside an aircraft. It’s designed for families, flight departments, and industry partners who want to understand not just what’s being said, but why it matters.
- Air Nurses – Frequently Asked Questions (FAQ)
What is Air Nurses? Air Nurses is a nurse-founded medical transport service that provides in-flight clinical support for private flights. We bridge the gap between traditional medical escort services and full air ambulance transport by offering credentialed nurses for bedside-to-bedside care. What services does Air Nurses provide? We offer in-flight nursing care for clients who need medical oversight but don’t require an air ambulance. Our services include: Post-surgical flight support Medication monitoring and administration Mobility assistance Dementia or cognitive care during travel Coordination with families, brokers, and case managers How is Air Nurses different from a medical escort service? Unlike standard medical escorts who may have limited training, our flight nurses are clinically licensed and experienced in air medical transport . They are equipped to manage complex care plans, monitor for complications, and provide a calm, competent presence throughout the journey. What types of patients do you serve? At Air Nurses, we specialize in serving individuals who need clinical support during air travel , even if they don’t require an air ambulance. These are often people whose needs fall between a basic medical escort and full critical care transport. Here are the most common types of patients we accompany—and the reasons behind their travel: 🏥 Patients recovering from surgery or hospitalization A patient has been cleared to fly but still needs help getting through the travel process safely. That might include support managing post-op pain, help with mobility or wound care, or medication monitoring. Whether they’re heading home, relocating for recovery, or returning to a care facility, we make sure they’re supported from gate to gate. 👵 Elderly travelers needing cognitive or mobility support Age alone isn’t a limitation—but cognitive challenges, frailty, or balance issues can make air travel risky. We’re often called in to help seniors attend family events , like weddings or holidays, or to travel home after a medical stay. Our presence gives family members peace of mind knowing that mom, dad, or grandma is safe, comfortable, and cared for the whole way. 💊 Passengers with chronic or complex conditions For individuals living with Parkinson’s, epilepsy, diabetes, heart failure, or other long-term diagnoses, flying alone can be overwhelming—or unsafe. We assist with medication timing, mobility, in-flight monitoring, and coordination with family or healthcare providers. Many of our clients travel for follow-up appointments, treatments, or check-ins with specialists . Some are simply trying to return to familiar surroundings after an extended hospital stay. 🏠 Patients who just want to be home We see this often: someone has been hospitalized or placed in a rehab facility far from home, and they just want to return to familiar ground . Being in your own bed, surrounded by your people, isn’t just about comfort—it’s about quality of life . We make that homecoming possible, even when travel seems medically intimidating. 💞 End-of-life or palliative travel Sometimes, the most important thing is to be with loved ones—or in a meaningful place—for what may be a final visit. We’ve helped patients go on a special vacation, see their childhood home, or simply be present for a milestone . These moments matter deeply. And we’re honored to make them possible with quiet, compassionate care throughout the journey. 🎓 Attending family events, milestones, and meaningful get-togethers Patients don’t stop being people just because they’re sick. They still want to walk a daughter down the aisle , attend a grandchild’s graduation, or hold a newborn baby. We make those moments happen. Whether it’s a wedding, funeral, holiday, or reunion , we’re there to ensure patients can travel to participate safely and with dignity. 🧳 Brokers and aviation providers arranging flights for high-needs clients We work with charter brokers, flight departments, and family offices who support clients with mobility, memory, or health concerns. When discretion, professionalism, and clinical training are required, Air Nurses becomes part of your team—delivering seamless bedside-to-bedside care with zero disruption to the flight experience. Do you operate as an air ambulance? No. Air Nurses is not an air ambulance provider. We work alongside charter operators and brokers to offer non-emergency clinical care on private flights. If a patient requires emergency or ICU-level transport, we can help refer to a licensed air ambulance provider. Can I request an Air Nurse for a private charter flight? Yes. We work directly with clients, family offices, healthcare case managers, and charter brokers. Simply book online or contact us to coordinate your flight and care plan. What qualifications do Air Nurses have? Our team of CFRNs are board-certified to provide care during air travel. This includes Managing medical conditions at altitude Bringing and/or working with the equipment and limitations onboard an aircraft. Working with the pilot and crew of an aircraft as a seamless team. How do you ensure privacy for patients? Our nurses are trained to provide discreet, respectful care . We follow HIPAA and patient confidentiality best practices, and blend seamlessly into the charter experience—supporting the client without disrupting the flight. Do you fly internationally? Yes. We support both domestic and international travel , depending on visa, licensing, and flight route considerations. Reach out with your specific itinerary to confirm availability. What’s the cost of having an Air Nurse on board? Our pricing depends on the type of care needed, travel distance, and logistics. While we do not publish flat rates online, we’re happy to provide a transparent, all-in quote after a brief consultation. How far in advance do I need to book? We recommend booking as early as possible, especially for the holiday season and/or international flights. That said, we often accommodate short-notice requests depending on nurse availability and case complexity. Can you help coordinate travel with my broker or charter provider? Absolutely. We regularly work alongside charter companies, aircraft managers, and medical case managers to ensure smooth, coordinated care . How do I get started? You can book online , submit a request , or contact our team to discuss your needs. We’ll walk you through every step.
- In the News: Air Nurses Featured in Business Air News
“A nurse in the sky is the best of both worlds.” That quote from a recent Business Air News article captured something we’ve known all along: when you combine world-class aviation with real clinical care, you’re not just offering a flight — you’re offering peace of mind. We’re proud to share that Air Nurses is now the official in-flight medical team for ParaFlight , providing credentialed nurses to accompany clients on select charter flights. This partnership is designed for those situations that don’t quite call for a full medical flight — but still deserve expert support. Click for the article Why This Matters Some clients don’t need an air ambulance. But they also shouldn’t be flying alone. Post-surgical recovery. Complex medications. Mobility challenges. Chronic conditions. These are the kinds of things that can turn a standard charter into a stressful experience — unless you have the right person onboard. That’s where our nurses come in. At Air Nurses, we provide clinically trained, aviation-ready professionals who support clients discreetly throughout the journey. From pre-flight prep to in-flight care and arrival coordination, we act as a calm, competent presence so families can breathe a little easier. What the Article Got Right Business Air News hit on something subtle but important: this isn’t just about adding a nurse to a flight. It’s about redefining what’s possible in non-emergency medical travel. Ericka Essington, our founder and lead strategist, put it plainly: “There’s a gap between a standard medical escort and a critical care transport. We’re here to fill that gap — with the same professionalism, the same compassion, and a higher standard of care.” Not Just For Emergencies Some of the most meaningful flights we’ve done weren’t dramatic. They were simply important. Helping a parent return home after surgery Making it possible for a grandparent to attend a family gathering Supporting a cancer patient through treatment travel Ensuring a safe, calm environment for someone with memory care needs These moments matter. And they deserve the same thoughtful planning as any high-stakes transport. Read the Full Article Want to learn more? Check out the article on Business Air News for more about our partnership with ParaFlight and why this offering is gaining attention across the industry. We’re honored to be part of this evolution — and we’re just getting started.
- Air Nurses Founder Joins Corporate Angel Network as Ambassador
We are thrilled to announce that Ericka Essington , Founder & CEO of Air Nurses, has been named a new Ambassador for Corporate Angel Network (CAN). This partnership ties two missions we deeply believe in: compassionate care and removing barriers to treatment. What Is Corporate Angel Network? Corporate Angel Network is a 501(c)(3) nonprofit organization that arranges free flights for cancer patients and stem cell donors to reach specialized treatment centers—using unused seats on corporate jets and turboprop aircraft. Each year, CAN arranges more than 1,700 patient flights, helping ease the travel burden many patients face. Why Ericka’s Ambassador Role Matters In her new role, Ericka will act as a bridge—strengthening awareness, outreach, and coordination between CAN and the medical/healthcare community, including hospitals, case managers, and patient advocates. She explicitly notes that this role is about connection and advocacy—not direct medical care. Her background deeply aligns with the mission: 18 years in nursing, including 15 years in air medical and critical-care transport Certifications: CFRN (Certified Flight Registered Nurse), FP‑C, CMTE Leadership roles in transport medicine and clinical operations Because of that expertise, she’s uniquely positioned to open doors, raise visibility, and help connect CAN’s mission to more patients and institutions. What This Means for Patients & Families Greater reach : With Ericka’s network and voice, more healthcare providers and case managers may learn about CAN and what it offers Stronger advocacy : Having a seasoned clinical leader championing the mission helps bring credibility and understanding to audiences that may not know about CAN’s work Synergy with our own mission : Air Nurses already focuses on bridging gaps in travel + medical care. This partnership underscores that same philosophy in a complementary space How We See This Partnership Advancing the Mission Mutual awareness – Air Nurses can help direct medical providers to CAN as an option for patients in need of free travel Joint messaging – Together, we can amplify stories of access, care, and the importance of removing travel barriers Shared learning – Ericka’s insight from operating in medical transport can inform CAN’s strategies for outreach, logistics, and partnerships Stronger impact – When mission-driven organizations collaborate, the effect is greater than the sum of its parts Looking Ahead We’re honored that CAN chose Ericka as Ambassador, and we see this as the beginning of deeper collaboration in bringing accessible medical travel to those who need it most. We’ll be sharing updates on how this partnership develops, including: Educational resources for case managers and clinicians Joint community outreach Stories of patients who benefit from CAN flights









