Critical Care Paramedic

Brown Medicine•Cranston, RI

2d•$29 - $48

About The Position

Under the supervision of the Medical Director and Lifeguard EMS Program Coordinator, the Critical Care Paramedic provides patient care, supports training and research, and uses and maintains equipment in accordance with established policies and procedures. The role includes maintaining clinical skills and knowledge of relevant literature; assisting with the development of training curricula, research protocols, and patient-care procedures; and supporting program development and outreach. The paramedic’s role does not supersede the RN’s role in patient care after responsibility for a patient has been transferred to the RN. The position provides emergency and critical-care transport services, participates in education and research, and completes related documentation and operational tasks. The work takes place in variable in- and out-of-hospital settings, including emergency, disaster, training, and clinical simulation environments. It requires travel in ambulances and other vehicles, as well as aircraft, and may include travel to conferences. The position responds to on-call emergencies, disasters, and major incidents and works rotating 12-hour shifts, including days, nights, weekends, and holidays. Driving is required; the position has no supervisory responsibility. Brown University Health employees are expected to model the organization’s values of Compassion, Accountability, Respect, and Excellence and its core Success Factors: Instill Trust and Value Differences, Patient and Community Focus, and Collaborate.

Requirements

Current Rhode Island EMT-Paramedic license.
At least five years of field EMS experience or emergency medical care experience, including training and research in that field.
Current National Registry of Emergency Medical Technicians Paramedic certification.
Current ACLS, BLS, and PALS certifications.
Maintain certifications as required by the position.
Obtain Critical Care Emergency Medical Transport Paramedic (CCEMTP) certification within one year of employment; the course and certification must be approved by the University of Maryland Baltimore County (UMBC).
Obtain Emergency Vehicle Operators Course (EVOC) certification within one year of employment.
Valid, current driver’s license and clean driving record.
Ability to read, speak, write legibly, and comprehend English without restriction.
Working knowledge of statistics, verbal and written English communication, computer use, and research methodology.
Effective written and spoken communication with employees, patients, referring hospitals, and the community.
Maintain clinical proficiency in patient assessment and history and physical; venous and arterial invasive line placement and maintenance; intraosseous cannulation; medication dosing, administration, and maintenance; non-invasive, invasive, and surgical airway management; hemodynamic monitoring; 12-lead ECG monitoring and interpretation; intra-aortic balloon pump management; ventilator management; and RSI.
Be prepared for unrestricted travel in ambulances, cars, trucks, boats, airplanes, and helicopters.
Demonstrate knowledge and skills to provide care that considers aging processes, human development stages, and cultural patterns.
Meet physical demands including work in cramped quarters and varied weather and hazardous-material risks; running, climbing, carrying equipment, and lifting patients; rising from a squat while two people lift 175 pounds; and lifting, carrying, pushing, or pulling 100 pounds or more.
Maintain physical capabilities for standing, walking, running, sitting, stooping, kneeling, crouching, crawling, swimming, balancing, bending, twisting, CPR, patient handling, and fine motor tasks.
Have adequate corrected far and near vision, hearing, and color discrimination for driving, patient care, reading, equipment alarms, and communication tasks.
Be free of motion sickness or a history of it and of physical ailments that may impair consciousness or cognitive ability.

Nice To Haves

Bachelor’s degree in Biological Sciences, Nursing, or a related field.
Instructor status for ACLS, BLS, and PALS certifications.
CCEMTP and/or FP-C certification.
ATLS (audit), BTLS, PHTLS, and NRP.

Responsibilities

Provide patient care at incident scenes and during critical-care transport in accordance with established standards, protocols, and policies under the supervision of the physician Medical Director or designee.
Provide comprehensive, effective, and safe care to patients transported by Lifeguard EMS.
Train emergency-care personnel, including EMTs, students, first responders, residents, attending physicians, and nurses, through curriculum development, precepting, mentoring, simulation-based training, conferences, and other methods.
Assist in developing patient-care protocols and methods, training curricula, and other research, training, and patient-care initiatives.
Attend required staff and educational meetings and remain current with literature relevant to program areas.
Participate in designing and conducting experiments, including enrolling study subjects according to established protocols and research methodology.
Assist in preparing research presentations and papers for publication and may present findings at conferences.
Complete written and electronic patient documentation in accordance with Rhode Island Hospital and Rhode Island Department of Health Division of EMS requirements, in a timely manner to expedite billing.
Perform public education, marketing, and outreach, and maintain a positive attitude toward patients, families, coworkers, facility staff, and the public.
Maintain a clean operational environment; retrieve, stock, and clean medical equipment.
Report to remote locations for duty and respond on call to emergencies, disasters, and major incidents.
Perform data entry and clerical assistance.
Assist with Emergency Department communications and dispatch at and for the communications center.
Maintain clinical skill proficiency and knowledge, uphold Lifeguard EMS policies and procedures, and comply with safety standards set by Rhode Island Hospital and the Rhode Island Department of Health.