Position Summary:Provide direct patient care under the supervision of UNMH Lifeguard Medical Director. Operates within scope of practice as defined by New Mexico Bureaus of Emergency Medical Services, UNMH Lifeguard approved Special Skills, and UNMH Lifeguard approved advanced patient care protocols and clinical procedures. Works in conjunction with Lifeguard Registered Nurses, Lifeguard Medial Director, or UNMH Emergency Services Fellows. Serve as a role model to promote positive work environment and quality patient care. Function as a patient advocate. Participate in research, quality, and program outreach initiatives. Ensure adherence to hospital and departmental policies and procedures. Patient care assignment may include Neonate, Pediatric, Adolescent, Adult, and Geriatric age groups. Accountability:

PATIENT CARE - Assessing and monitoring patient condition, and in conjunction with RN team member, devising appropriate plan of care based upon information gathered

PATIENT CARE – POC and other appropriate testing as approved by Lifeguard Medical Director and New Mexico Bureau of Emergency Medical Services

PATIENT CARE – Assessment of test results and laboratory values for purpose of adjusting patient therapy within protocol guidelines and discussion with RN team member

ALS - Provide advanced life support to include oral/nasal endotracheal intubation, needle thoracostomy, needle/surgical cricothyroidotomy, introsseous catheter insertion, pericardiocentesis; perform 12-lead EKG's and chemical blood glucose tests

PROCEDURES – Perform advanced procedures within scope of practice and authorized special skills including but not limited to operation of advanced equipment

DOCUMENTATION – Document all patient care and treatment rendered using Lifeguard PCR and EMR processes

COMMUNICATION – Communicate patient information with appropriate healthcare providers related to patient assessment and treatments provided by transport team

RELATED WORK - Perform related duties and responsibilities as required

PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols

PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes

PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk

PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner

PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"

Education Requirements:

High School Diploma or GED equivalent

Technical or Vocational school in Emergency Medical Services

Experience Requirements:

3 years or a minimum 4000 hours Pre-Hospital 911 service, average 4-6 transports in 12-hour period or 2 years Pre-Hospital 911 service with average 4-6 transports in 12 hour period and 1 year in an acute care setting for minimum 4,000 hours clinical practice as a paramedic

Licensure/Certification Requirements:

New Mexico EMT-P or eligible. Must be licensed by start date.

CPR Certification for Healthcare/BLS Providers or for Professional Rescuers

Advanced Cardiac Life Support (ACLS) Certification

PALS or equivalent pediatric advanced life support certification

FP-C or CCP-C w/in 1 year of position

TPATC or ATLS or ATLS audit w/in 1 year

NRP w/in 1 year

STABLE w/in 1 year

Valid New Mexico Driver's License

Must obtain UNM Vehicle Operator's Permit w/i 60 days of position

Education Requirements - Preferred:

Associate Degree

Experience Requirements - Preferred:

4 years and minimum 5,000 hours Pre-Hospital 911 service, average 4-6 transports in 12 hour period or 3 years Pre-Hospital 911 service with average 4-6 transports in 12 hour period and 1 year experience in acute care setting for minimum 5,000 hours clinical practice as a paramedic

Previous Critical Care Transport experience

Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

Bilingual English/Spanish

Physical Demands Requirements:

Very Heavy Work: Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects or people. Physical Demand requirements are in excess of those for Heavy Work.

Maximum weight 225 pounds, ability to climb, squat, carry 30 pound bag, ability to lift 200 pound patient on backboard with one other person

Licensure/Certification Requirements - Preferred:

One of the following: National Registry Paramedic, CCEMT-P, FP-C, CCP-C

Instructor Certification in course such as BLS, ACLS, PALS, etc.

Professional licensure as appropriate to the clinical objectives of the unit:

One of the following: National Registry Paramedic, CCEMT-P, FP-C, CCP-C

Instructor Certification in course such as BLS, ACLS, PALS, etc.

Working Conditions Requirements:

Subject to random alcohol and substance testing

Working in confined space or unusual positions

May be required to travel to various work sites

May be required or is required to perform on-call duties

Work environment is Helicopter, Airplane or Ground Ambulance

Sig Hazard: Chemicals, bio hazardous materials requiring extensive safety precautions and may require protective equipment

May be required to work rotating shifts, holidays and weekends