Critical Care Paramedic

SUMMARY: Under supervision of the Medical Director and the Lifeguard EMS Program Coordinator, following established policies and procedures, performs the role of a Critical Care Paramedic, including delivery of patient care, training, equipment use and maintenance, and research efforts. Maintains clinical skills, knowledge of literature in the field, assists the Medical Director and the program coordinator in the design of training curricula and research protocols, and develops procedures to carry out patient care, research, program development and outreach, and training objectives. The position shall not supersede the RN role in patient care once responsibility for a patient is transferred from the critical care paramedic to the RN. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Performs patient care at incident scenes and during critical care transport in accordance with established standards, protocols and policies under the supervision of the physician medical director (or his/her designee). Provides comprehensive, effective and safe care to any patient transported by Lifeguard EMS. Participates in training of emergency care personnel (EMTs, students, first responders, residents, attending physicians, nurses and others) including curricula development, precepting, mentoring, simulation-based training, conferences and other training techniques. Assists in development of patient care protocols and methods, training curricula, other training techniques, and other research, training, and patient care efforts. Attends required staff and educational meetings and remains current with literature pertaining to relevant program areas of interest. Participates in the design and conduct of experiments, including enrollment of study subjects, according to established protocols and research methodology. Assists in writing presentations and papers for publications based on research performed and may present such findings at conferences. Completes patient documentation (written and electronic) per Rhode Island Hospital and The Rhode Island Department of Health: Division of EMS. This documentation shall be completed in a timely fashion to expedite patient billing. Performs public education, marketing and outreach and maintains a cheerful, positive attitude toward patients and families, co-workers, staff of other facilities and the public. Maintains a clean operational environment. Retrieves, stocks and cleans medical equipment. Reports to remote location(s) for duty. Responds to on-call to emergencies, disasters and major incidents. Performs data entry and clerical assistance. Assists with Emergency Department communications and dispatch at and for the communications center. MINIMUM QUALIFICATIONS: MINIMUM QUALIFICATIONS: Current State of Rhode Island EMT-Paramedic license with a minimum of five years field EMS experience. Current Paramedic certification through the National Registry of Emergency Medical Technicians. Current ACLS, BLS, and PALS certifications (instructor status preferred). CCEMTP and/or FP-C, ATLS (audit), BTLS, PHTLS and NRP preferred. Maintains certifications as mandated by the position Valid and current driver's license and a clean driving record. Bachelor's degree in Biological Sciences, Nursing or related field preferred. Must be able to read, speak, legibly write and comprehend the English language without restriction. Requires a working knowledge of statistics, verbal and written English communications skills, computer use and research methodology. Critical Care Emergency Medical Transport Paramedic (CCEMTP) certification within one year of employment. Course and certification to be approved by The University of Maryland Baltimore County (UMBC). Emergency Vehicle Operators Course (EVOC) certification within one year of employment. Maintains positive communication (written and spoken), effectively while interfacing with fellow employees, patients, referring hospitals and the community at large. Upholds and adheres to Lifeguard EMS policies and procedures. Upholds safety standards as set by Rhode Island Hospital and The Rhode Island Department of Health. Maintains clinical skill proficiency and knowledge base. This will include but not be limited to patient assessment, history and physical; invasive line (both venous and arterial) placement and maintenance; intra-osseous cannulation; medication dosing, administration and maintenance; airway management (including non-invasive, invasive and surgical); hemo-dynamic monitoring; 12 lead ECG monitoring and interpretation; intra-aortic balloon pump management; ventilator management and RSI. Skill maintenance may be performed at Rhode Island Hospital and other facilities under the supervision of the Medical Director or designee, by attending courses or lectures, through simulation or observational experience, and in other ways as approved by the Medical Director and Program Coordinator. Must be prepared for unrestricted travel in not only ambulances, but also cars, trucks, boats, airplanes and helicopters. Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages and cultural patterns in each step of the care process. PHYSICAL REQUIREMENTS: Must be capable of performing in cramped quarters, any type of weather condition, and other risks including hazardous materials. Must possess and maintain physical condition that allows running, climbing and carrying of medical equipment and lifting of patients Able to stand erect from a squatting position while lifting 175 pounds between two people – agility testing will be monitored annually. Free of motion sickness or history thereof. Free of physical ailment that may impair consciousness or cognitive ability. Standing, walking, running, and sitting. Stooping, kneeling, crouching and crawling. Running, swimming, balancing, bending, and twisting. Lifting, carrying, pushing/pulling 100 lbs or more. Handling, grasping and fingering, performing CPR, utilizing patient lifting devices, patient bandaging, and other fine motor skills such as Intra-venous line insertion, use of a scalpel, etc. Far vision for driving, identifying landmarks (including corrected). Near vision for reading/writing (including corrected). Hearing adequate to converse in normal tones, hear equipment sounds and alarms, use radios and other communications devices, and perform other job tasks (including corrected). Visual color discrimination for identifying labels, patient assessment, read placards, etc. Dynamic Strength: climb stairs w/equipment and patients. Explosive strength: run up stairs, lifting, escaping hazards Static strength: carry equipment; lift/carry patients Stamina: climb flights of stairs, perform CPR for long periods. EXPERIENCE: Five years experience in emergency medical care, including training and research in that field. WORK ENVIRONMENT: Variable environment, including in and out-of-hospital emergency care situations that may include disaster situations with exposure to unknown substances and/or risks, exposure to ill and injured patients, and training environments. Research and training environment may include in and out-of-hospital clinical and medical simulation settings. Requires travel in vehicles including ambulances and aircraft including travel to conferences in other areas of the country. SUPERVISORY RESPONSIBILITY: None.

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Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

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