Paramedic - Full Time (36hrs/week) - Day Shift

Job Summary

A Paramedic will be to the Crew Chief on duty and be responsible to the Ambulance Director while on duty in the hospital. Paramedic functioning in a pre-hospital setting is responsible for following physician orders regarding care of the patient(s). Paramedics that are Crew Chiefs are responsible for following physician’s standing orders and/or the Emergency Room Physician orders. The Paramedic is responsible on a shift to shift and on-call basis for the pre-hospital and general patient care provided under the Idaho EMS guidelines and hospital policy. The areas of responsibility are divided into four functional areas:

• Pre-hospital patient care and transport.
• Administrative assignments
• Educational/Developmental/Licensure responsibilities.
• Intra-hospital responsibilities, transport and other duties.

Duties and Responsibilities

PRE-HOSPTIAL PATIENT CARE AND TRANSPORT

• Responds via ambulance in a safe, expedient, and efficient manner to the scene or location of injured and/or sick patient.
• Provides direct patient care after evaluating the scene, by assessing the needs of individual patients, and treating the patient(s) appropriately.
• Provides direct patient care in accordance with the laws governing Idaho Paramedic, with the standards set by the Idaho Emergency Medical Services Bureau, and the Idaho Physician Commission, Minidoka Memorial Hospital Medical Control Physicians and Minidoka Memorial Hospital Policies and Procedures manual.
• Assures that medical treatment provided, as it relates to the pre-hospital setting and during transports is properly implemented,
• evaluated and documented.
• Adheres to the criteria for use of standing written orders as set up by the Medical control Physician of Minidoka Memorial Hospital.
• Assures that the proper communication, via two-way radio or cell phone is carried out with the Emergency Room Physician, Emergency Department, State Communication Center, other hospitals. Appropriate law enforcement agencies and/or other appropriate public service agencies and/or units.
• Assures that the ambulance is driven at all times in a safe manner and in accordance with the laws governing the operation of Emergency Vehicles in the State of Idaho and the Emergency Driving Standards in the policy and procedures manual.
• Assures that the ambulances are stocked, cleaned, and ready for use at all times.

ADMINISTRATIVE ASSIGNMENTS

• Responsible to follow personnel and staffing policies as they relate to him/her.
• Responsible to participate in evaluations pertinent to the area of practice as they relate to Quality Assurance.
• Responsible to provide feedback to the shift supervisor on needs of the service and current program.
• Responsible for controlling use of supplies and equipment by ensuring that the correct and appropriate billing system is completed after each ambulance call.
• Completes other job-related duties as necessary and/or other assigned duties per director request.
• Maintains a safe environment for patients, bystanders, visitors, and other personnel.
• Know and understands specific responsibilities of his/herself and staff in the event of fire (Code Red), Disaster (Code Black), cardiopulmonary arrest (Code Blue).
• Demonstrates professional and ethical conduct as established by Minidoka Memorial Hospital policy and the Idaho EMS Bureau standards and ethics for the Emergency Medical Technicians.
• Responsible to evaluate self-educational needs on an ongoing basis and seek those resources to meet those needs.
• Actively engage in quality improvement activities.
• Responsible to work in conjunction with shift supervisor to identify programs which would meet staff needs.

FIRST PRIORITY IS TO THE AMBULANCE TO MAKE SURE IT IS STOCKED AND MAINTAINED.

• Responding to calls on the 911 pager is first priority.
• Completes job-related duties as assigned by the department supervisor.
• Assists nurses in taking vital signs and documentation, triage and discharging patients within the hospital.

1. Start un-medicated intravenous fluids within the hospital with accurate documentation of same, as agreed upon in the written contract between the hospital and EMS.

2. Assist in assessment of patient in the emergency department with documentation on ER records, in accordance with emergency room policies and scope of practice, e.g., information regarding complaint, vital signs, and observations, however, the RN must still make an entry in the record or his/her assessment.

• Transports patients by wheelchair and stretcher to and from bed, chairs, wheelchairs, and stretchers, to include Countryside. This is done in conjunction with an employee of that department.
• Obtains supplies and equipment, etc., when under the direction of the department supervisor.
• Reports identified intra-departmental problems to the crew chief, director, or ambulance administrative lead.
• Assigned duties may be subject to change. All revisions will be documented in Minidoka Memorial Hospital policy and procedure manuals and copies given to all Paramedic personnel.
• Required to be in base headquarters or within the hospital area when on duty. If duty assignment requires being outside of the hospital area, alert appropriate personnel of that location.
• Participates as a member of the Code team in a code situation within the hospital.
• In the event of a code in Countryside, the staff will call 911 to have Paramedic respond with ambulance and equipment need for code.
• Actively engage in quality improvement activities.
• Performs other duties as assigned.

UNIFORMS

• A uniform that is professional looking and clean will be worn while on duty in the hospital. Refer to Dress Code policy.
• In pre-hospital settings weather conditions may modify need for other than states designated uniforms.
• Uniforms shall be approved by the Director of Ambulance to assure uniformity.