Paramedic-Critical Care Transport

Nemours is seeking a Paramedic (dayshift, 60 hrs every 2 wks)  to join our Nemours Children's Health team in Wilmington, DE.

As a member of the NCHD transport team, duties are as follows and not limited to; provide safe, efficient, and effective inter-facility transport to a wide variety of ill and injured patients. Provide advanced life support care necessary to stabilize and transport patients. The provision of this care may occur under the direct supervision of a registered nurse or with standing protocols under a physician's direction in conjunction with other providers (i.e., Emergency Medical Technicians). Provide staffing in the Emergency Communications and Information Center.

Qualifications 

Minimum Education
High School Diploma or equivalent AND graduation from an accredited paramedic program (through a professional institute or a college/university) (Required)

Minimum Work Experience
1 year: At least 1 year of ALS experience in a pre-hospital (911) or inter-facility transport program (Required)
2 years: At least 2 years of related experience (Preferred)

Required Skills/Knowledge
Must have excellent interpersonal and communication skills.
Demonstrates clinical expertise, problem solving and independent decision making skills.
Maintain skills and proficiency with the use of information technology.
Must be able to hear and communicate with others in a clear, understandable and professional manner.
Must possess a valid driver’s license and be able to operate an emergency vehicle during routine and priority response.

Required Licenses and Certifications
Nationally Registered Emergency Medical Technician (NREMT-P) (Required)

Basic Life Support for Healthcare Provider (BLS) (Required)
Pediatric Advanced Life Support (PALS) (Required)
AHA HP, ACLS (Required)
Certifications from the State of Delaware (DE certifications prior to hire and orientation) Maryland, and Pennsylvania within first 120 Days of hire (Required) 
Specialty certification (PNCCT, CCEMTP) (Preferred)

Functional Accountabilities
Clinical

• Ensure a quick response to all transport requests.
• Practices within the designated scope of practice as defined by the Board of Medical Practice of the State of Delaware, NCHD, and the Office of Emergency Medical Services Paramedic Standing Orders.
• Provide developmentally appropriate care.
• Perform patient assessment and prioritize care based on assessment.
• Continuously re-assess patient and perform advanced role skills according to standard protocols or on-line physician direction.
• Distinguish between normal and abnormal findings and recognize clinical deterioration.
• Maintain proficiency with transport and patient care equipment including, but not limited to, monitors, infusion pumps, external pacer, defibrillator, and transport ventilators.
• Administer and monitor medications as outlined by transport service policies and procedures within scope of practice.
• Follow all transport protocols as directed by medical control for transport services.
• Document patient care as specified by department and hospital guidelines.
• Promote family centered care in the transport environment.
• Maintain proficiency in Advanced airway management and endotracheal intubation.
• Maintain proficiency in Peripheral IV insertion and fluid administration.
• Maintain proficiency in C-Spine restriction and splinting.
• Maintain proficiency in Needle thoracentesis.
• Maintain proficiency in Intraosseous needle placement.

Communication

• Obtain and evaluate pre-transport patient information.
• Provide technical expertise with telephones and radios to ensure effective communication between transport team members and the referral facility.
• Maintain an open line of communication with the referring physician, and the NCHD physician as the patient’s condition warrants during transport.
• Communicate all pertinent patient information in both written and verbal form.
• Provide written and verbal report to receiving provider in an organized and timely manner.
• Complete patient transport documentation.
• Provide staffing in the Transport Communication Center as needed.

Safety

• Responsible for safe loading and unloading of patients and family and to ensure patient and equipment are safely secured during transport.
• Maintain current knowledge of locations and efficient travel routes to referring facilities.
• Maintain ambulance in clean and neat working order and ensure adequate inventories of supplies including patient care equipment, linen, vehicle fuel and fluids; complete all equipment and safety checks as soon as possible during shift.
• Provide prompt notification of deficiencies identified during safety checks.
• Anticipate patient needs and secure proper equipment and personnel.
• Promptly communicate safety and equipment concerns per policy.
• Maintain NCHD Transport Team safety standards.

Management

• Supervise Emergency Medical Technicians during ground transports.
• Complete daily basic vehicle maintenance checklist and maintain responsibility for vehicle fleet.
• Maintain transport vehicle readiness, include cleanliness, equipment and supplies.
• Recognize recurring problems and participate in their resolution.
• Participate in the transport data collection.
• Assist in marketing and public relation events.
• Actively participate in patient review and performance improvement projects.
• Assist with appropriate clinical duties within institution.
• Assume self-directed role during low periods of activity.
• Act as a resource and role model to other staff.
• Assume self-directed approach to ensuring adequate paramedic staffing of all shifts.

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance
• Continuously validate and verify information needed for decision making or documentation
• Stop in the face of uncertainty and takes time to resolve the situation
• Demonstrate accurate, clear and timely verbal and written communication
• Actively promote safety for patients, families, visitors and co-workers
• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Organizational Accountabilities
Professional Development

• Maintain a positive public image of the transport program through contact with community facilities.
• Assist in orientation of new employees.
• Attend all required staff meetings and educational activities.
• Serve as a contributing member of transport team/hospital committees.
• Independently maintain required certifications.

Organizational Commitment/Identification

• Partner in the mission and upholds the core principles of the organization
• Committed to diversity and recognizes value of cultural ethnic differences
• Demonstrate personal and professional integrity
• Maintain confidentiality at all times

Customer Service

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior
• Partner with all team members to achieve goals
• Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment
• Demonstrate flexibility and willingness to change
• Identify opportunities to improve clinical and administrative processes
• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently
• Search for less costly ways of doing things