Paramedic - Critical Care Transport (DAYS) - Nemours

Nemours is seeking a Paramedic! As a member of the NCHD transport team, duties are as follows and not limited to; provide safe, efficient, and effective inter-facility transport to a wide variety of ill and injured patients. Provide basic and advanced life support care necessary to stabilize and transport patients. The provision of this care may occur under the direct supervision of a registered nurse or with standing protocols under a physician's direction in conjunction with other providers (i.e., Emergency Medical Technicians). Provide staffing in the Emergency Communications and Information Center.

Schedule: 72 hours biweekly, day shift 0645-1915, every third weekend, every third holiday - rotating.

Clinical

• Ensure prompt response to all transport requests.
• Practices within the designated scope of practice as defined by the Board of Medical Practice of the State of Delaware, NCHD, and the Office of Emergency Medical Services Paramedic Standing Orders.
• Provide developmentally appropriate care.
• Perform patient assessment and prioritize care based on assessment.
• Continuously re-assess patient and perform advanced role skills according to standard protocols or on-line physician direction.
• Distinguish between normal and abnormal findings and recognize clinical deterioration.
• Maintain proficiency with transport and patient care equipment including, but not limited to, monitors, infusion pumps, external pacer, defibrillator, and transport ventilators.
• Administer and monitor medications as outlined by transport service policies and procedures within scope of practice.
• Follow all transport protocols as directed by medical control for transport services.
• Document patient care as specified by department and hospital guidelines.
• Promote family centered care in the transport environment.
• Maintain proficiency in Advanced airway management and endotracheal intubation, Peripheral IV insertion and fluid administration, C-Spine restriction and splinting, Needle thoracentesis, and in Intraosseous needle placement.

Communication

• Obtain and evaluate pre-transport patient information.
• Provide technical expertise with telephones and radios to ensure effective communication between transport team members and the referral facility.
• Maintain an open line of communication with the referring physician, and the NCHD physician as the patient's condition warrants during transport.
• Communicate all pertinent patient information in both written and verbal form.
• Provide written and verbal report to receiving provider in an organized and timely manner.
• Complete patient transport documentation.
• Provide staffing in the Transport Communication Center as needed.

Safety

• Responsible for safe loading and unloading of patients and family and to ensure patient and equipment are safely secured during transport.
• Maintain current knowledge of locations and efficient travel routes to referring facilities.
• Maintain ambulance in clean and neat working order and ensure adequate inventories of supplies including patient care equipment, linen, vehicle fuel and fluids; complete all equipment and safety checks as soon as possible during shift.
• Provide prompt notification of deficiencies identified during safety checks.
• Anticipate patient needs and secure proper equipment and personnel.
• Promptly communicate safety and equipment concerns per policy.
• Maintain NCHD Transport Team safety standards.

Management

• Supervise Emergency Medical Technicians during ground transports.
• Complete daily basic vehicle maintenance checklist and maintain responsibility for vehicle fleet.
• Maintain transport vehicle readiness, include cleanliness, equipment and supplies.
• Recognize recurring problems and participate in their resolution.
• Participate in the transport data collection.
• Assist in marketing and public relation events.
• Actively participate in patient review and performance improvement projects.
• Assist with appropriate clinical duties within institution.
• Assume self-directed role during low periods of activity.
• Act as a resource and role model to other staff.
• Assume self-directed approach to ensuring adequate paramedic staffing of all shifts.

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance
• Continuously validate and verify information needed for decision making or documentation
• Stop in the face of uncertainty and takes time to resolve the situation
• Demonstrate accurate, clear and timely verbal and written communication
• Actively promote safety for patients, families, visitors and co-workers
• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Qualifications:

• Must possess a valid driver's license and be able to operate an emergency vehicle during routine and priority response.
• At least 1 year of ALS experience in a pre-hospital (911) or inter-facility transport program (Required)
• At least 2 years of related experience (Preferred)
• Nationally Registered Emergency Medical Technician (NREMT-P) (Required)
• Basic Life Support for Healthcare Provider (BLS) (Required)
• Pediatric Advanced Life Support (PALS) (Required)
• AHA HP, ACLS (Required)
• Certifications from the State of Delaware (DE certifications prior to hire and orientation) Maryland, and Pennsylvania within first 120 Days of hire (Required)