ALS Paramedic

Transport ParamedicOverview0.9FTE, 36 hours per weekDay/Night rotationOn call requirement Weekend/Holiday commitmentNon-Exempt, Benefits EligibleMin. pay is $24/hr. plus shift differentialsProvides direct patient care and assistance under the supervision of a Transport Clinician or physician using Family Centered Care principals. Provides stabilization and emergency care of the acutely ill neonate, infant, child, adolescent, or adult by ALS and Critical Care levels of transport via ground and air. Educates referral staff through informal teaching as well as planned educational conferences. Demonstrates competence defined in transport paramedic responsibilities in providing age-appropriate care and service to patients from the age of birth to 21 years, and selected adults.Why Nationwide Children's Hospital?The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children's Hospital, Where Passion Meets Purpose.Here, Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission.We're 14,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we'll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.Ask anyone with a Nationwide Children's badge what they do for a living. They'll tell you it's More Than a Job. It's a calling. It's a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.Nationwide Children's Hospital. A Place to Be Proud.ResponsibilitiesAssumes the defined responsibilities and functions of a Transport Technician under the supervision of a Transport Clinician or physician. a. Collaborates with other team members in the management of the acutely ill patient. b. Demonstrates leadership ability; accepts responsibility and accountability for all decisions and actions. c. Demonstrates rapid decision-making skills and the ability to use sound judgment.Assists with the planning of the transport team activities in accordance with established written guidelines, policies, and procedures.In conjunction with the Physician Consult Transfer Center (PCTC) and NCH Dispatch; organizes rapid transport mobilization and assures appropriate utilization of resources.Performs and properly documents physical observations, obtains and records medical-family history, assists in formulating a clinical problem list and plans care to meet all patient / family needs.Using evidence based practice to improve care; stabilizes the patient in the referring center through assessment, planning, intervention, and evaluation of care by protocol or under the supervision of a Transport Clinician or physician.Performs treatments and procedures in accordance with the written guidelines and policies of the Transport Program within the framework of the protocols, policies, procedures, and standards set forth by Nationwide Children's and the Division of Patient Care Services. With documented training, competently performs stabilization and resuscitation of the critically ill patient under the supervision of the Transport Clinician or physician utilizing the following interventions and specialized procedures dependent on which Level of training: Level 1 Transport Technician Role a. Cervical collar and spinal stabilization b. Splints suspected or actual fractures including the use of traction splints c. Orthopedic dressing-clavicle strap, cervical collars, slings, ACE wraps, Schantz dressing, knee immobilizer d. Administers oxygen therapy e. Positions/Holds for procedures f. Performs oral and NP suctioning g. Cleans wounds and applies dressing h. Performs phlebotomy and venipuncture i. Initiates peripheral intravenous therapy in accordance with NCH and Transport Policy/procedure j. Operates IV pump and/or manually regulates infusions k. Performs life support measures per protocol l. Endotracheal intubation m. Needle thoracotomy n. Mechanical Ventilation 16 years of age and over o. Intraosseous accessLevel 2 of Transport Tech Rolea. Mechanical ventilation under 16 years of ageb. Peripheral arterial puncture c. High frequency ventilation d. Provides iNO gas for inhalation e. Umbilical Vessel CatheterizationProvides continuous monitoring of the patient per protocol during transport.Administers medication under the supervision of the Transport Clinician or physician, in accordance with the policies and procedures of Nationwide Children's and in accordance with the written protocols, guidelines, policies, and procedures for administration of medications on transport.Maintains documentation of patient assessment, condition, interventions required, and communication processes on the transport record.Providing Family Centered Care, crisis intervention, support, and education to the family of the critically ill patient.Maintains fleet, equipment, and supplies necessary to the transport system including routine maintenance and cleaning.Functions as a resource to referral staff, Nationwide Children's staff, and the community.Identifies referral hospital education needs and helps to meet these education needs through informal and/or formal teaching.Identifies system problems for research and assists in research activities of the transport program.Continually evaluates methods of practice; recommends changes, and modifications of protocols to meet patient needs.Actively participates in the unit committees and projects to assure daily operation and growth of the Transport Program.Establishes professional objectives, evaluates self and peers, and shares progress with the Transport Program Manager.Attends and actively participates in monthly staff meetings.20. Attends and actively participates in hospital based committees and projects.Successfully completes quarterly skills and recertification requirements.Certification required: BLS, NRP, PALS, ACLS, and trauma course prior to completion of orientation.Successful completion of NCH Critical Care drug test and IV Opioid, Hypnotic, Sedative, and Anticonvulsant test prior to completion of orientation.Attends educational opportunities designed for/or relevant to transport personnel.Actively pursues own professional growth through attendance at conferences, educational activities, and through continual review and sharing of professional experiences.Must obtain advanced certification within one year of completing orientation that is specific to the program's patient population and maintain.Functions as a team member performing other related duties as assigned.Supports the Mission, Vision, Values of the hospital and the Transport Program.Assists with orientation of new Transport Team personnelDrive the MICU safely to and from transport locations.QualificationsKNOWLEDGE, SKILLS AND ABILITIES REQUIREDHigh school graduate or equivalent with good verbal and written communication skills and basic computer knowledge.Current Ohio Driver's license.Must pass motor vehicle background inspection, insurance eligibility, driving qualifications, and training set forth by Nationwide Children?s Hospital and maintain qualification of insurance guidelines.Certified by the State of Ohio as an Emergency Medical Technician-Paramedic.Successful completion of the 2 stages of Transport Paramedic Training Program and Preceptorship.a. Driving and ALS Transports (Level 1)b. Critical Care Transports (Level 2)i. Must meet all the Level 1 Transport requirements.Experience requirements for applicants:a. Minimum of 3 years' experience as an Emergency Medical Technician-Paramedic with 2 years' experience in a pediatric emergency department preferred.b. While orienting to Driving and ALS Transports, one will need to maintain an FTE of 0.6 during orientation and maintain for at least one year after orientation is complete.c. Once orienting to Critical Care Transport stage (Level 2), one will need to maintain an FTE of 0.9 during orientation and maintain for at least one year after orientation is complete. d. Stipulations of various hours in multiple departments dependent on previous experience to include: emergency department, PICU, and NICU at Nationwide Children?s Hospital is required during the transport preceptorship for applicants.e. Orientation between the two levels of care could be up to or over 1 year.