I am a flight nurse in the midwest... We work 24 hours on, 24 off, 24 on, 5 days off. 24/48 means 24 hours on, 48 off. 24s aren't bad. 1. What are the EXACT duties and expectations of a Flight Nurse? 2. Does a flight nurse work internationally or nationally? In New York your company may send you to Canada to pick up patients if you are part of a hospital based system. 3. After getting ER/ICU/etc. experience how does on exactly become a flight nurse? 3-5 years of ER and ICU experience depending on the type of agency you work for. I read you have to go to a program or academy. I only seem to find one in the USA. Not usually. You generally need ER, ICU and prehospital experience. 4. What is the works schedule like? Salary? The salary is about the same as RNs working in acute care here in the midwest. I hope this helps :) Good luck in your quest!