Paramedic

Overview This position provides advanced emergency medical care to the sick and/or injured as trained and licensed by the State of Michigan. The desired result of the paramedic's intervention is improved patient outcome. Responsibilities (50%) Acts independently to formulate and initiate a plan of intervention for medical and traumatic emergencies. Invasive medical interventions include: pleural decompression, cricothyrotomy, endotracheal intubation, interosseous access, intravenous access insertion of esophageal obturator airway, and blood sugar analysis. Noninvasive monitoring and management techniques include: vital sign interpretation, cardiac rhythm analysis, 12 lead interpretation, cardiac defibrillation/cardioversion, use of external pacemaker, analysis of pulse oximetry, and proper delivery of oxygen therapy. (25%) Assesses patients during inter-hospital transfers. Evaluation and intervention is initiated by the paramedic. Additional medical equipment is often utilized to maintain optimal patient care. Examples of equipment include neonatal isolette, intra-aortic balloon pump, and intravenous infusion machines. (25%) Supervises field medical management of ancillary rescue personnel. This includes any physician not identified with the Midland/Gladwin Medical Control Authority, any Medical Center employee, Michigan State Police, Midland and Gladwin City Police, County Sheriff Department, all County and adjacent fire departments. Other duties Drafts a computer report documenting assessment, intervention, and outcome of all patients receiving care. Generates ongoing public awareness and education programs to insure that hospital staff, physicians, and the general public perceive this service (EMS) and the Medical Center in a positive manner. Evaluates readiness and safety of emergency equipment and vehicles. This includes cardiac monitor, external pacemaker, pulse oximeter, laryngoscope, and any/all equipment required by the State of Michigan. Included is the assessment of the emergency vehicles safety. The paramedic determines the road worthiness of the vehicles. Cleans and polishes EMS vehicles and EMS stations on a daily basis. Included is the decontamination of any vehicle/equipment after unsafe exposure to contaminated substances. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. All other duties as assigned. Certifications and Licenses BLS - Basic Life Support DMV CHECK - DMV Record Check EMT-P - Paramedic NIMS IS 100 - Introduction to the Incident Command System (IS-100) NIMS IS 700 - Introduction to the National Incident Management System (IS-700) PALS - Pediatric Advanced Life Support PHTLS - Pre Hospital Trauma Life Support TEAM ADVANCED - Techniques for Effective Aggression Management Required Education High School Diploma or GED Equivalent Experience: Knowledge of emergency medicine as normally acquired through 2 years of emergency education culminating in licensure as an Emergency Medical Services - Paramedic. Knowledge of pre-hospital care as normally acquired through 2 years experience working in a Medical Center or similar healthcare setting. Hazardous Materials Management. Maintain licensure through the State of Michigan and must obtain the required number of continuing medical education credits required to re-license every three years. Other Information EXPERIENCE, TRAINING AND SKILLS: Knowledge of pre-hospital care as normally acquired through 2 years’ experience working in a Medical Center or similar healthcare setting. Hazardous Materials Management. Ability to function independently. Ability to analyze patient condition, synthesize all information gathered, and coordinate a precise treatment plan for any/all emergent conditions. In conjunction with setting up this treatment plan, the paramedic's ability to negotiate with patient and family to assure compliance is fundamental. Ability to triage a mass casualty incident and knowledge of cardiac rhythm analysis, pharmacology, invasive techniques including pleural decompression, cricothyrotomy, endotracheal intubation, interosseous access, central and peripheral intravenous access, insertion of esophageal obturator airway, blood sugar analysis and non-invasive techniques including pulse oximetry analysis, heart and lung sound analysis, and blood pressure analysis in less than optimal environments. Basic operation of external pacemaker. Knowledge of extrication and special rescue. Geographical skills needed to access emergency locations. Knowledge training and licensure to meet State of Michigan requirements, MMC fleet insurance requirements and any other requirements developed by the medical center. Ability to direct ancillary personnel, i.e., fire rescue, law enforcement, bystanders, etc. Ability to immobilize any and all potential fractures/dislocations, including spinal cord injuries. Excellent driving skills for emergency vehicles. Interpersonal skills needed to console/comfort victims and/or families and friends. Mandatory tuberculosis (TB) testing must be done annually. Mandatory OSHA training must be completed annually according to the Exposure Control Plan. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MidMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Very Heavy. Must be able to occasionally lift or carry over 100 lbs., frequently over 50 lbs. and/or walk/stand/push/pull of arm/leg controls and constantly over 20 lbs. Equivalent Experience and Other Comments (Education) Other Comments #J-18808-Ljbffr