Paramedic - Emergency Department - Nights

Duke Health Lake Norman Hospital Paramedic

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Pursue your passion for caring with Duke Health Lake Norman Hospital in Mooresville, North Carolina. The smallest of the four Duke Health hospitals at 123-beds, it offers a comprehensive range of medical services, including 24-hour emergency care, cardiology, orthopedics, women's services, and surgical specialties.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

This position offers a commitment bonus of $7500 or higher, based on experience, if eligible.

Job Summary

The Paramedic functions as an integral member of the interdisciplinary healthcare team providing direct patient care. The Paramedic performs a variety of activities across various practice settings and patient populations in accordance with the Paramedic scope of practice as defined by the North Carolina Medical Board and with the approval of the practice setting Medical Director.

Work Performed

Responsible for providing direct patient care in accordance with the Paramedic scope of practice as defined by the North Carolina Medical Board under the medical oversight of the Medical Director of the practice setting where the individual will function. Assists clinical staff in the evaluation, treatment and care of patients. Obtains pertinent history and performs a physical examination. Performs technical procedures as delegated. Monitors patients and maintains records using patient monitoring systems and electronic health records. Documents patients' status, delivery of care and evaluation of the patients' response to care according to specific procedures and established protocols. Documents and maintain an informative and accurate medical record to initiate charges for each patient treated. Communicates in a professional manner essential information to all appropriate members of the healthcare team to promote sharing of information throughout the continuum of care. Operates extensive medical and mechanical equipment in the hospital and transport environment. Ensures all medical equipment is functioning; restocks medical supplies as needed. Provides and maintains a safe and therapeutic environment for the patients, visitors, and staff. Properly disposes of and handles as applicable, sharps, soiled materials, and linens and disinfects area in accordance with policy and policy as applicable. Properly uses PPE when in contact with patients, soiled utility, hazardous materials in accordance with policy. Act as preceptor and support the development of other staff and formal learners. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Supports an environment of evidence-based practice/research/quality improvement initiatives Maintain certifications and clinical skills. Performs other related duties incidental to the work described herein.

Knowledge, Skills and Abilities

Knowledge of and appropriate application Paramedic scope of practice Knowledge of professional theory, practice and procedure Ability to assess needs of acute and chronically ill patients and their families Ability to independently seek out resources and work collaboratively Ability to establish and maintain effective working relationships Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up Ability to use fine motor skills Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status Ability to use computer and learn new software programs Able to document and communicate pertinent information using computer and/or paper documentation tools Ability to withstand prolonged standing and walking Ability to remain focused and organized Working knowledge of procedures and techniques involved in administering routine and special treatments to patients Working knowledge of infection control procedures and safety precautions Pre-employment Physical Capacity Testing Required Must Speak English in good, understandable terms Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Critical thinking and ability to concentrate Must be able to respond quickly to changes in patient and/or unit conditions Level II and III: Operating knowledge of ambulance/fire truck or vehicle equivalent to the Duke Life Flight ambulances. Physical Requirements Work requires walking, standing, sitting, lifting, reaching, stooping, bending, knelling, crouching/squatting, balancing, and pulling. Ability to withstand prolonged standing and walking. Must be able to lift and support the weight up to 75 pounds in handling patients, medical equipment, and supplies. Intact sense of sight, hearing, smell, and touch. Finger dexterity. Bimanual Dexterity: Requiring the use of both hands. Life Flight: Level II: Vision must be corrected 20/40. Successful completion of post offer job testing for physical fitness. Level III Meet Level II requirements Physically fit to allow for functional movement in an aircraft or ambulance and the ability to wear the Duke approved helmet. Max weight 240 pounds fully outfitted for air crew. Max height 6'4" for air crew-See Weight Standards policy. The transport environment may be indoors or outdoors in any type of weather. The air ambulance (rotor wing or fixed wing) is noisy, may experience exhaust fumes. High and low frequency vibrations are present requiring hearing protection/helmet.

Minimum Qualifications

Education Successful completion of an NCOEMS approved Paramedic Course or a United States Department of Transportation (USDOT) centered course or similar approved Paramedic Course.

Experience Level I - Paramedic One year experience in relevant clinical areas required, Paramedic experience preferred. Level II - Life Flight Advanced Life Support Paramedic One year ALS Paramedic experience required, preferred two to three years prehospital experience with a moderate call volume (>15,000 calls/year) 911 agency. Level III - Life Flight Critical Care Paramedic Minimum of three years and current ALS experience as a Paramedic in emergency setting with a moderate to high call volume 911 agency (20,000 to 35,000 calls/year) Obtain FP-C within 2 years of hire. Weight Standards policy

Degrees, Licensures, Certifications Current certification as a North Carolina Paramedic required for all levels. Level I BLS, ACLS, and PALS required. (Must obtain within 6 months if working in a hospital-based department) Current trauma course preferred: PHTLS, BTLS or ITLS Level II Applies to Life Flight Paramedic only BLS, ACLS, and PALS, required. ITLS (or PHTLS) preferred upon hire. If not, will need to acquire within the first year. NRP required within 6 months of hire. North Carolina Emergency Vehicle Driver certification or comparable. Current Class C driver's license Current three (3) year driving history absent of violations Level III Applies to Life Flight Paramedic only. Satisfy all requirements of Level II Neonatal Resuscitation Provider (NRP) required CCP-C or FP-C certification required. PHTLS certification required within 1 year of hire. Specialty certification, i.e., FP-C, or CCEMTP required within 2 years of hire date if Paramedic is new to SCT transport Obtain TPATC within 24 months of hire