Paramedic Charge

Job Title

POSITION PURPOSE Delivers timely and effective critical care paramedic level emergency medical care to patients of all ages in both emergency and non-emergency situations, ensuring stabilization and/or resuscitation as needed due to illness or injury. Responds to ambulance calls, follows established system protocols and NIMS standards for scene management, and accurately document all care provided. When available, assists in the Emergency Department by performing advanced airway management, medication administration, and assists with delegated tasks such as assessments, vital signs, IV initiation, ECGs, and documentation, as well as decontamination, cleaning, and restocking of equipment.

Essential Functions

• Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
• Patient Care
• Rapidly assess patients and provide lifesaving care according to protocol.
• Initiate basic and advanced airway management.
• Provide direct patient care in pre-hospital and hospital settings within the Critical Care Paramedic scope of practice, including the administration of approved medications.
• Provide age-appropriate care across neonate, infant, child, adolescent, adult, and geriatric populations.
• Transport & Operations
• Operate ambulance safely; transport sick or injured persons while avoiding motions detrimental to patients.
• Cover on-call hours and staff special events as directed to meet departmental needs.
• Assist with scheduling, payroll, and timekeeping, as needed.
• Provide shift-to-shift leadership, resolve conflicts, and facilitate smooth operations.
• Vehicle & Equipment Maintenance
• Perform daily/weekly vehicle and rig checks; maintain, restock and clean unit after each run.
• Manage EMS inventory; maintain pagers, radios and other equipment; report discrepancies and maintenance needs.
• Documentation & Quality
• Complete patient care documentation after each call and in the Emergency Department as needed.
• Participate in peer review and chart audits.
• Participate in quality monitoring, performance improvement, and evidence-based practice initiatives.
• Ensure compliance with regulatory requirements and assist with state inspections.
• Training & Education
• Complete all required training and maintain competency in required skills, including departmental, site specific, and organization-wide programs.
• Maintain personal training logs and track continuing education hours (CEHs).
• Assist in orientation of new EMTs, Advanced EMTs, Paramedics, and Critical Care Paramedics; provide education to staff and the public as requested.
• Precept and mentor EMT, Advanced EMT, and Paramedic students.
• Community Engagement
• Maintain a professional public image; participate in public relations activities.
• Support Community Paramedicine program tasks (e.g., medication reconciliation, brief home safety review, patient assessment, red flag education, follow-up coordination, and documentation).
• Communication & Teamwork
• Use radios and communication systems effectively.
• Collaborate with providers, nurses and other healthcare professionals.
• Ask for assistance when needed to ensure safety for all involved.
• Safety & Infection Control
• Attend required safety programs; consistently use personal protective equipment; follow departmental emergency procedures.
• Maintain a safe working environment; report and remove unsafe equipment.
• Other Duties as assigned.
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Minimum Qualifications

• Must possess a comprehensive understanding of the Critical Care Paramedic scope of practice, including all clinical procedures, patient care standards, and legal/regulatory requirements governing emergency medical services. This knowledge should encompass state and local protocols, documentation standards, infection control practices, and the ability to apply these principles effectively in both pre-hospital and hospital settings. Additionally, the Lead Paramedic should demonstrate proficiency in recognizing limitations of the role and collaborating with other healthcare professionals to ensure safe, high-quality patient care.
• High school diploma or equivalent (GED) required.
• Graduate of an approved Paramedic course with a current Iowa Paramedic (PM) certification, or an Iowa RN Exemption PHRN certification, based on role. (MercyOne Genesis current Paramedic (PM) license in either Iowa or Illinois is required at the time of hire. A secondary EMT license for the other state must be obtained within 120 days of the hire or transfer date.)
• Iowa Critical Care Paramedic endorsement required.
• 3-5 years of experience in providing emergency care with the ability to work under pressure while maintaining positive relationships; leadership experience preferred.
• Maintain a valid driver's license and an acceptable Motor Vehicle Report, meeting all organizational motor vehicle safety standards.
• National Incident Management System (NIMS) - 100 (preferred).
• American Heart Association Basic Life Support (BLS) required.
• American Heart Association Advanced Cardiac Life Support (ACLS) required.
• American Heart Association Pediatric Advanced Life Support (PALS) provider.
• Pre-Hospital Trauma Life Support (PHTLS) provider (preferred).
• Advance Medical Life Support (AMLS) provider (preferred).
• Proof of completion of Mandatory Reporter Child and/or Dependent Adult Abuse training within three (3) months of hire.
• Non-Violent Crisis Intervention (NVCI) within 6 months of hire.
• Neonatal Resuscitation Program (NRP) as applicable.
• Emergency Vehicle Operator Course (EVOC) or equivalent within 1 year of hire.
• Must be comfortable operating in a collaborative, shared leadership environment.
• Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health and MercyOne.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.