Paramedic

Emergency ParamedicThe primary purpose of this position is to provide emergency live-saving treatment to patients, while responding to emergency rescue situations involving bodily injury and potential loss of life.Responsibilities include:Responding to all emergency/non-emergency calls providing basic and advanced life support treatment to patients.Staffing an ambulance as part of a two person team for 24 hours at a time.Responding to emergency calls and providing assistance to Cherokee Police Department, Cherokee Fire Department and neighboring ambulance services.Performing extrication of victims from motor vehicle collisions, hiking trails, waterfalls, and other adverse locations following department procedures and policies.Responsibly operating an emergency services vehicle.Properly securing all patients and belongings in the patient compartment area.Appropriately, proficiently, and accurately performing all necessary cardiac life save skills such as: Transcutaneous pacing, manual defibrillation, 12-lead EKG application, interpretation & transmission, basic 3-lead EKG application and interpretation, cardiac cardioversion.Appropriately, proficiently, and accurately performing all necessary airway management procedures such as: Blind insertion airway placement, surgical airway cricothyrotomy, oral and nasal intubation, video guided laryngoscope intubation, tracheostomy management, drug assisted intubation, airway suctioning, naso/oro-gastric tube placement, manual ventilations, mechanical ventilator placement and management.Appropriately, proficiently, and accurately performing all necessary vascular access techniques such as: intravenous (IV) access, intraosseous (IO) access, central line maintenance, drawing blood for laboratory analysis, external jugular access, ultrasound guided venous access.Appropriately, proficiently, and accurately performing all necessary patient assessments such as: Adult and pediatric physical assessments, stroke screens and stroke severity examinations, verbal deescalation techniques, capnography measurement and waveform interpretation, blood glucose measurement, non-invasive blood pressure measurement, orthostatic blood pressure management, temperature measurement, pulse oximetry measurement.Appropriately, proficiently, and accurately performing all necessary respiratory procedures such as: non-invasive continuous positive airway pressure, nebulizer inhalation therapy, basic and advanced airway suctioning, basic respirator operation, advanced mechanical ventilator operation.Appropriately, proficiently, and accurately performing all necessary wound care and trauma procedures such as: chest decompression via needle thoracotomy, spinal motion restriction, splinting, hemostatic gauze placement, tourniquet placement, taser-probe removal, general wound care.Appropriately, proficiently, and accurately performing all necessary universal procedures such as: childbirth, decontamination, intramuscular and subcutaneous injections, physical restraints, urinary catheter placement.Appropriately, proficiently, and accurately dosing medications, selecting medications, initiating infusions via an IV pump, administering medications in a safe manner.Maintaining a constant state of readiness and being prepared to respond to an emergency medical dispatch or other event at a moment’s notice.Effectively and appropriately communicating patient condition, assessment findings, and interventions to physicians, nurses, and other EMS providers.Appropriately examining, assessing, and treating patients to the standard of a North Carolina Paramedic.Preparing required reports regarding patient care, reflecting data required for insurance, Medicare, Medicaid, and other legal purposes.Maintaining files, reports, and other paperwork as required by department policies and procedures. Serving as a preceptor for students riding with Cherokee Tribal EMS.Overseeing medical care provided by other personnel on scene to ensure safe and appropriate practices.Ensuring adequate supplies are always on hand and completing all required inventory checklists.Inspecting all equipment to ensure proper working order including cardiac monitors, ventilators, stretchers etc.Completing all assigned duties for the EMS facilities.Attending in-service/continuing education classes as required to maintain knowledge and proficiency of policies and procedures.Performing all duties according to established safety guidelines, EMS, and Tribal policies.Standing-by at events as needed. Assisting with instruction of classes as needed.Participating in approved medical research and following all parameters and requirements of the medical study.Maintaining an understanding of patient privacy requirements.Serving in an on-call capacity for emergencies or as uncommon situations arise 24/7.Key Job KnowledgeResponsibilities include:Ability to assist with planning, organization, supervision, and direction of operations of the department.Thorough knowledge of the Public Safety and EMS policies, procedures, and guidelines.Knowledge of all OSHA and HIPAA Safety Rules and Regulations, Infection Control Policy, Tribal Personnel Policy, and the Cherokee Tribal EMS Standard Operating Procedures/Rules and Regulations.Adherence to all NC State regulations as well as Tribal regulations complete with applicable reporting, training, compliance and other regulatory mandates.Compliance with all local, State, and Federal laws, regulations, and protocols.Thorough knowledge of FEMA’s policies and procedures.Good communication skills, both verbal and written.Knowledge of all equipment and medical procedures applicable to certification level of a Paramedic.Maintaining appropriate continuing education hours as set by NCOEMS.Understanding and knowing local street, road, and traffic patterns of the Qualla Boundary, so that future responses can be made with minimal difficulty or delay.Participating regularly in training or review of medical care protocols, ambulance operations, and equipment functionality.Basic computer skills including accessing the internet, completing patient care reports, scheduling work shifts, completing time sheets, documenting other incidents or reports that may be requested. Be able to type at least 30 words a minute in a professional and accurate way.Communicating in a respectful, professional, and polite manner with all people encountered.Understanding how to multi-task and remain focused during high stress situations.Working knowledge of common Microsoft products such as: Word, Excel, PowerPoint, Outlook.Successfully completing a technical scope of practice approved by the medical director.