Critical Care Paramedic

Major Responsibilities:

• Provides basic, advanced, and critical care of the ambulance patient as well as critical care level treatments, procedures and medications on interfacility transports to include interventions expanded beyond the Paramedic scope of practice in treating our most critically ill/injured patients.
• Administers critical care level treatments such as ventilator management, blood product administration, fibrinolytic therapy, care of patients requiring multiple IV infusions, external pacemaker management, and additional interventions as required by the State of Wisconsin EMS scope of practice.
• Oversees the overall patient care and manages CCT-level interventions when working with a Paramedic partner. Helps to ensure the availability of a Paramedic with CCT credentials as needed during shifts where multiple interfacility transfers occur and responds promptly when on-call and a need for a CCT Paramedic arises.
• Operates ambulance vehicles using safe driving practice. Performs quality control checks of ambulance equipment and vehicles. Maintains cleanliness of equipment, work area, and vehicles following department safety policies and standard precautions. Monitors equipment and troubleshoots minor problems. Arranges for repair of major malfunctions.
• Communicates and delegates effectively in the field. Conveys pertinent information regarding patient to the healthcare team and concerns to the Ambulance Manager.
• Ensures prompt, accurate documentation of patient incidents. Maintains accountability of all medications and accurately documents use, waste, and custody of medications.
• Under the direction of the RN, provides assistance in emergencies, prepares and administers medications. Notifies department RN or physician immediately of changes in patient condition. Documents information/procedures and promptly communicates observations, concerns and needs of the patient to the Registered Nurse (RN).
• Collaborates with physicians to support communications required to facilitate patient care. Coordinates and facilitates all forms of communications (phone, verbal, paging, electronic, fax and emergency medical services (EMS) system). Processes daily patient charges and/or related procedure through the electronic health record (EHR).
• Supports and reinforces RN/physician and patient/family teaching and evaluates learning, documenting in the medical record as appropriate.
• Performs various patient positioning and transporting duties, which require lifting and pushing/pulling, while utilizing proper technique.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

Licensure, Registration, and/or Certification Required:

• A valid drivers license issued by the Division of Motor Vehicles, and
• National Registry of Emergency Medical Technicians-Basic (NREMT-Basic) certification issued by the National Registry of Emergency Medical Technicians (NREMT), or
• Critical Care Paramedic Certified (CCP-C) certification issued by the Board for Critical Care Transport Paramedic Certification (BCCTPC), or
• Emergency Medical Technician (EMT) Paramedic issued by the State of Wisconsin and State of Michigan needs to be obtained within 30 days, and
• Pediatric Advanced Life Support (PALS) certification issued by the American Heart Association (AHA), and
• Advanced Cardiac Life Support certification (ACLS) issued by the American Heart Association (AHA), and
• Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA), and
• CPR/AED for professional rescuers and health care providers certification issued by the American Red Cross.

Education Required:

• Completion of an accredited or approved program in Emergency Medical Services.

Experience Required:

• Typically requires 1 year of experience in in a paramedic role or appropriate related clinical experience.

Knowledge, Skills & Abilities Required:

• Must possess and maintain a clean driving record as evidenced with no exclusions listed under insurance contract.
• Completion of Emergency Nursing Pediatric Course (ENPC) or other courses as appropriate, may be completed in place of Pediatric Advanced Life Support (PALS) certification issued by the American Heart Association (AHA).
• Basic computer skills and ability to work with electronic health record (HER) systems.
• Excellent interpersonal skills and the ability to communicate effectively with physicians, staff, patients and their families.
• Must maintain skill and certification as required by regulation and organization.
• Ability to effectively manage time and priorities.
• High level of attention to detail.

Physical Requirements and Working Conditions:

• Must be able to sit, stand, walk, lift, bend, squat, reach above shoulders, and twist frequently during work shift.
• Must be able to:
• Lift up to 50 lbs. from floor to waist.
• Lift up to 20 lbs. over the head.
• Carry up to 40 lbs. a reasonable distance.
• Must be able to:
• Push/pull with 30 lbs. of force.
• Perform a sliding transfer of 150 lbs. with a second person present.
• Will be required to use foot pedals on carts or machines.
• Will be exposed to the following hazards on a continuous basis: mechanical, electrical, chemical, radiation, and blood and body fluids.