Community Paramedic - BirminghamThis position is based in Birmingham, AL.
ESSENTIAL DUTIES AND RESPONSIBILITIES: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
In addition to performing the job functions, duties and responsibilities of a Paramedic, this position has the following duties and responsibilities:
- Conducts in-home assessment of the patient (i.e. vital signs, blood pressure, labs: glucose levels, medication compliance) on a scheduled basis to monitor health patterns and assess needs and treatment.
- Maintains telephone contact with patients on a regular and scheduled basis.
- Initiates patient treatment and care utilizing initial protocol treatment based on patient condition (e.g. administration of intermediate and advance medications, wound care, medication reconciliation).
- Engages in preventive medical care (e.g.. immunizations, fall assessment).
- Provides referral assistance and education (medical and social services).
- Obtains and preserves where possible samples of substances to assist hospital personnel in patient diagnosis and treatment.
- Observes and keeps records regarding symptoms of patients.
- Provides daily patient reports to the ordering physician or advanced practice provider (e.g. nurse practitioner), Operations Manager and/or Medical Director.
- Communicates information to other members of the healthcare profession, patients, family members, and other responders as necessary and appropriate.
- Provides basic and advanced life support skills including but not limited to: bleeding control, shock stabilization and treatment, splinting of fractures, assessing vital signs, lifting and moving patients, I.V. administration and administration of intermediate and advanced medications.
- Responsible for safety decisions involving the patient and emergency vehicle transport; whether or not additional equipment should be needed and utilized;, determines transport needs of patients and sets priorities.
- Assists in carrying patient(s) by stretcher or other device to emergency vehicle and secures patient inside the vehicle choosing the safest means of transport.
- Complies with all current policies and procedures.
- Accurately and completely documents all information required by Lifeguard Ambulance, the local and state medical control, and the Ambulance Run Ticket or Patient Refusal form.
- Completes and submits all other documentation (i.e. Daily Check Sheet) as established by local operations procedures.
- Ensures follow up with customers as appropriate to gain feedback on services provided, seeking opportunities for process improvement.
- Maintains a safe and healthy workplace as per the standards set forth by the Occupational Health and Safety Administration (OSHA), Lifeguard Ambulance, and Lifeguard Ambulance SOG's.
- Stays current with leading industry practices/knowledge base.
- Maintains all required licenses and certifications by attending courses provided by local operation and medical community to obtain CEU's and CEC's.
- Provides supervisor with documentation of current certifications and training documentation information for training file.
- Attends all required staff meetings.
- Remains aware of all policy changes and informational postings throughout the operation and EMS Toolkit and by engaging with leadership staff.
- Performs other duties as assigned.
KNOWLEDGE, SKILLS & ABILITIES
- Thorough knowledge of emergency medical service regulations, policies, scope of practice, and operating procedures.
- Thorough knowledge of equipment and supplies used in emergency care of patients and victims of accidents, patient care and transport.
- Considerable knowledge of geography of the operating area and the location of roads and streets.
- Considerable knowledge of emergency medical procedures and techniques.
- Demonstrable organizational and interpersonal communication skills to ensure successful tracking, monitoring, and treatment of patients via long-term care management.
- Ability to exercise independent judgment in determining the appropriate emergency medical treatment of a patient or a group of patients according to existing protocols and standards of care
- Working knowledge of radio communication equipment.
- Ability to operate a personal computer and related software and to type with accuracy.
- Working knowledge of the safe operation of emergency vehicles and compliance with all state laws pertaining to the safe operation of an emergency vehicle.
- Ability to work varied and flexible hours.
To perform the job successfully, an individual should demonstrate the following competencies:
- Analytical - synthesizes complex or diverse information; uses intuition and experience to complement data.
- Design - demonstrates attention to detail.
- Problem Solving - identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; uses reason even when dealing with emotional topics.
- Technical Skills - assesses own strengths and weaknesses; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others.
- Customer Service - manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.
- Interpersonal Skills - focuses on solving conflict, not blaming; maintains confidentiality; listens to others without interrupting; keeps emotions under control; remains open to others' ideas and tries new things.
- Oral Communication - speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions; demonstrates group presentation skills.
- Written Communication - writes clearly and informatively; edits work for spelling and grammar; varies writing style to meet needs; presents numerical data effectively; able to read and interpret written information.
- Teamwork - balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests; able to build morale and group commitments to goals and objectives; supports everyone's efforts to succeed.
- Visionary Leadership - displays passion and optimism; inspires respect and trust; mobilizes others to fulfill the vision; provides vision and inspiration to peers and subordinates.
- Change Management - develops workable implementation plans; communicates changes effectively; builds commitment and overcomes resistance; monitors transition and evaluates results.
- Delegation - delegates work assignments; matches the responsibility to the person; gives authority to work independently; sets expectations and monitors delegated activities; provides recognition for results.
- Leadership - exhibits confidence in self and others; inspires and motivates others to perform well; effectively influences actions and opinions of others; accepts feedback from others; gives appropriate recognition to others.
- Managing people - takes responsibility for subordinates' activities; makes self available to staff; provides regular performance feedback; develops subordinates' skills and encourages growth; solicits and applies customer feedback (internal and external); fosters quality focus in others; improves processes, products and services.; continually works to improve supervisory skills.
- Quality management - looks for ways to improve and promote quality; demonstrates accuracy and thoroughness.
- Business acumen - understands business implications of decisions.
- Cost consciousness - develops and implements cost saving measures; conserves organizational resources.
- Diversity - shows respect and sensitivity for cultural differences; promotes a harassment-free environment.
- Ethics - treats people with respect; keeps commitments; inspires the trust of others; works with integrity and ethically; upholds organizational values.
- Organizational support - follows policies and procedures; completes administrative tasks correctly and on time; supports organization's goals and values.
- Judgment - displays willingness to make decisions; exhibits sound and accurate judgment; supports and explains reasoning for decisions; includes appropriate people in decision-making process; makes timely decisions.
- Motivation - sets and achieves challenging goals; demonstrates persistence and overcomes obstacles; measures self against standard of excellence.
- Planning/organizing - prioritizes and plans work activities; uses time efficiently; plans for additional resources; sets goals and objectives; organizes or schedules other people and their tasks; develops realistic action plans.
- Professionalism - approaches others in a tactful manner; reacts well under pressure; treats others with respect and consideration regardless of their status or position; accepts responsibility for own actions; follows through on commitments.
- Quality - demonstrates accuracy and thoroughness; looks for ways to improve and promote quality; applies feedback to improve performance; monitors own work to ensure quality.
- Quantity - meets productivity standards; completes work in timely manner; strives to increase productivity; works quickly.
- Safety and security - observes safety and security procedures; determines appropriate action beyond guidelines; reports potentially unsafe conditions; uses equipment and materials properly.
- Adaptability - adapts to changes in the work environment; manages competing demands; changes approach or method to best fit the situation; able to deal with frequent change, delays, or unexpected events.
- Attendance/punctuality - is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time.
- Dependability - follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments; commits to long hours of work when necessary to reach goals.; completes tasks on time or notifies appropriate person with an alternate plan.
- Initiative - volunteers readily; undertakes self-development activities; seeks increased responsibilities; takes independent actions and calculated risks; looks for and takes advantage of opportunities; asks for and offers help when needed.
EDUCATION AND RELATED WORK EXPERIENCE
- High school diploma or equivalent.
- Minimum of 3 years experience as a Paramedic required.
- Hospital/clinic experience preferred.
- Combination of education and experience considered.
LICENSES, REGISTRATIONS or CERTIFICATIONS
- Current EMT-Paramedic License.
- ACLS certification.
- BTLS, PHTLS, or ITLS required.
- PEPP, PALS, or other equivalent pediatric course.
- EVOC or equal Defensive Driving certification.
- CCEMPT preferred.
- Valid state drivers' license with proper endorsements, four years of licensed and unsupervised driving experience, and a driving record that meets the approval of Lifeguard's Auto Insurance Policy Carrier.
REPORTING RELATIONSHIPS & DIRECTION/GUIDANCE
This position is directly supervised by the Operations Manager in conjunction with the advanced practice provider of the assigned hospital facility. This position also is under the direction and guidance of the Regional Director of Operations and the Medical Director.
This position provides direction and guidance to any assigned EMT crewmembers.
BUDGET AND OR RESOURCE RESPONSIBILITY
This job has no budgetary responsibilities.
PHYSICAL REQUIREMENTS, COGNITIVE FUNCTIONS & WORKING CONDITIONS: The physical demands, work environment factors and cognitive functions described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This position requires mostly field work staffing and riding in an ambulance or QRV, involving frequent sitting, walking, standing, bending, and moderate squatting, crouching, kneeling, twisting, crawling and climbing, and working in awkward positions when moving patients from all types of locations and within the emergency vehicle. It requires frequent lifting of up to 100 lbs. This position will be required to perform various lifts and transfers of patients who may require the use of one or more of the following items: stretcher or backboard, stair chair, neonate isolet, and possibly a two person manual transfer. This position will require partnering with another EMT to lift, carry, push, pull, maneuver, balance and transfer from one surface to another a body weight of up to 300lbs, and additional equipment weight. This position requires manual dexterity of frequent simple and power grasping of both hands, moderate use of fine manipulation with both hands, and frequent pushing and pulling and reaching above and below shoulder level. This position also requires frequent use of foot controls when driving the emergency vehicle, utilizing stretchers, or operating other medical equipment with foot controls.
Requires ability to identify and distinguish colors, clear vision at 20 inches or less (close vision) and clear vision at 20 feet or more (distant vision), peripheral and depth vision, as well as ability to adjust focus.
Must be able to analyze many variables and choose the most effective course of action for responding to calls, treatment and transportation of patients, and interaction with family members, facility personnel, and others. Must be able to handle novel and diverse work problems on a daily basis, including high pressure trauma scenes. Personal maturity and sound judgment are important attributes. Must be able to relate, communicate and interact with people at all levels within the Company and at customer facilities, as well as with people of diverse backgrounds, age levels ranging from infant to senior, disparate levels of comprehension, and potentially dealing with confused and agitated patients or family members. Requires ability to analyze, evaluate, compare, and compile information, and the ability to coordinate, communicate, and instruct.
TYPICAL WORK ENVIRONMENT: This position requires driving an emergency vehicle throughout shifts of varying durations (up to 24 hours), use of stretchers, ventilators and other medical equipment; walking on uneven or slippery ground depending on the location in which the transport occurs; exposure to red lights and sirens on ambulance and other emergency responder vehicles; exposure to various weather conditions, day and evening shifts; potential exposure to dust, gas, fumes or chemicals (e.g. idling ambulances, responding to vehicle accidents); working at heights and/or in confined spaces (depending on the call); and potential for exposure to blood-borne pathogens, known and unknown medical conditions (protective materials are provided and precautions are required).