Critical Care Transport Paramedic II, Maryland ExpressCare - Aberdeen

University of Maryland Medical System•Aberdeen, MD

15d

About The Position

Provides high-acuity critical care and emergency ground/surface transportation for patients with stroke, STEMI, trauma, medical, surgical, cardiac, neurologic, high-risk obstetric, neonatal, and pediatric needs. Supports physician medical directors, critical care transport nurse specialists, and other providers in delivering high-acuity medical therapies and interventions. Works under MEC clinical guidelines and, when appropriate, Maryland Institute for Emergency Medical Services Systems (MIEMSS) protocols, collaborating with healthcare providers at sending and receiving facilities. The role also contributes to operational teams working on organizational initiatives. The paramedic provides and coordinates clinical care in the critical care transport environment and is accountable for care processes and outcomes. The position includes assessing, monitoring, treating, and stabilizing critically ill patients during transport; communicating patient status and care to receiving teams; maintaining clinical competencies and professional development; supporting new employees as a novice preceptor; and participating in training, process improvement, governance, and unit-based committees. The role also responds to internal and external crisis interventions and performs other duties as assigned.

Requirements

High school diploma or GED.
At least 3 years of experience in a high-volume, high-acuity emergency medical services system at a minimum ALS level of care, or in critical care interfacility transport.
Current Nationally Registered Paramedic certificate.
Paramedic license issued by the Maryland Institute for Emergency Medical Services Systems.
Active and valid American Heart Association Basic Life Support (BLS) certification or equivalent.
Active and valid American Heart Association Advanced Cardiac Life Support (ACLS) certification or equivalent.
Active and valid Pediatric Advanced Life Support (PALS) certification or equivalent.
Completion of a critical care transport program course (CCEMTP or equivalent); course equivalency is determined by the MEC Medical Director and Nurse Manager.
Must obtain Neonatal Resuscitation Program Provider (NRP) certification within 6 months of hire.
Must obtain Certified Critical Care Paramedic (CCP-C) or Flight Paramedic (FP-C) certification within 18 months of hire.
Must complete the UMMS critical care transport orientation program and receive Medical Director approval to function as a specialty care paramedic.

Nice To Haves

Completion of a critical care transport program course (CCEMTP or equivalent).

Responsibilities

Provides, directs, and coordinates clinical care in the critical care transport environment and is accountable for care processes and outcomes.
Conducts comprehensive patient assessments using multiple data sources to identify patient and family needs and problems.
Systematically observes patients for overt and covert clinical signs and symptoms.
Assesses patient needs before and during transport and implements patient-specific plans of care.
Under base station attending physician orders or established MEC medical guidelines, initiates life-support therapies, including approved medication administration, IV/IO therapies, EKG monitoring, arrhythmia interpretation, CPR, defibrillation, external cardiac pacing, airway management, intubation, cricothyrotomy, ventilator operation, needle chest decompression, and management of high-acuity transports and advanced life-support equipment, including ECMO and IABP.
Provides care for patients with altered neurological status, including cervical spine immobilization, and applies splints and devices needed for transport.
Responds to internal and external crisis interventions, including Go Team requests, novel pathogens, and outpatient assistance.
Provides comprehensive and accurate reports to receiving medical teams about patient status and interventions during transport.
Uses resources within and outside the hospital to provide comprehensive care to patients and families.
Evaluates and revises individualized plans of care to reflect changes in patient or family status.
Continuously assesses, monitors, intervenes, and stabilizes critically ill patients during transport and offers additional or alternate plans of care as needed.
Uses chart review sessions for patient care evaluation and learning.
Maintains required patient-care competencies and advances professional development.
Serves as a novice preceptor and resource to new MEC employees.
Attends mandatory MEC training, in-services, and education classes.
Supports unit-based process improvement initiatives, including data collection.
Participates in unit-level decision-making through the governance model.
Participates actively in at least one unit-based committee.
Supports American Association of Critical Care Nurses Healthy Work Environment guidelines, including communication, collaboration, effective decision making, recognition, leadership, and staffing.
Performs other duties as assigned.