Paramedic (Mobile Integrated Health)

Alachua CountyGainesville, FL
Onsite

About The Position

This is responsible technical work in the Fire Rescue Department providing medical care to the critically ill or injured on a non-emergency and/or emergency basis. An employee assigned to this classification is the lead worker on an ALS ambulance who is responsible for rendering initial evaluations of patients and performing advanced life support, and/or Critical Care procedures on the sick or injured. Work is performed within standard guidelines and under physician's orders via telephone or radio. An employee is expected to exercise considerable independent judgment, based on technical training in the emergency medical field. Work is reviewed by higher-level supervision through quality assurance, reports, and observation of results obtained. This position reports directly to a District Chief.

Requirements

  • Graduation from high school or equivalent.
  • Successful completion of a pre-employment drug screen & physical examination and successful completion of all applicable background checks pre-hire and ongoing are required.
  • Current State of Florida Paramedic certificate.
  • Current designation as an Advanced Cardiac Life Support Provider.
  • A Valid Florida Driver License is required and a Motor Vehicle Record that meets the requirements of Alachua County policy #6-7; Motor Vehicle Records will be reviewed prior to employment. If, in the past 24-month period, the applicants Motor Vehicle Record has more than three (3) moving traffic infractions or three (3) or more at fault motor vehicle accidents (or combination of both and /or a conviction/pending charge for driving under the influence) or is in violation of any standard mandated by Federal or State Law or Regulation, the minimum qualifications are not met for the position.
  • Successful applicants must meet all requirements for Drivers as listed in Florida Statutes 401.281.
  • A sworn affidavit attesting to the non-use of tobacco products.
  • Certification by the Alachua County Medical Director within the first month of employment, and maintain this certification as a condition of employment
  • Successful completion of a department-sponsored certified sixteen-hour (EVOC) Emergency Vehicle Operator Course within the first month of employment.
  • Thorough knowledge of current emergency medical treatment procedures and departmental medical care protocols.
  • Thorough knowledge of emergency medical equipment, operation and maintenance.
  • Thorough knowledge of departmental Standard Operating Procedure (SOP) manual.
  • Ability to respond quickly and effectively in emergency situations.
  • Ability to recognize life-threatening situations and react accordingly.
  • Ability to follow precise technical instructions from a physician via phone or radio.
  • Ability to communicate effectively both orally and in writing.
  • Ability to perform EMS related functions in emergency or non-emergency situations as necessary.
  • Ability to establish and maintain effective working relationships with coworkers and representatives from other areas.

Responsibilities

  • Responds to inter-facility and out-of-county transfer requests and other emergency and non-emergency calls.
  • Counsels employees as required, supervises and evaluates assigned driver.
  • Performs duties of a field training officer with probationary employees and acts as a preceptor for EMT and Paramedic students.
  • Utilizes all required safety measures when performing assigned job duties.
  • Determines extent of illness or injury, establishes priority for required care and performs triage.
  • Provides emergency medical assistance including but not limited to: airway control and maintenance, positive pressure ventilation, cardiac resuscitation, cardiac monitoring, intravenous therapy IV, pump operation, ventilator operation, invasive line placement and management and pharmacological therapy.
  • Provides control of hemorrhaging and limb and spinal immobilization; bandages wounds and treats other medical emergencies.
  • Transmits patient information to hospital via telephone or radio.
  • Assists in moving patients to emergency medical vehicles to transport to a medical facility.
  • Reports necessary information to emergency room upon arrival with patient and fully documents information on run report as required.
  • Initiates command procedures in compliance with the department's Incident Command System (ICS).
  • Supervises the delivery of critical patient care upon arrival at the scene to ensure proper care is administered.
  • Prepares and maintains records and reports as directed and in accordance with state and department's guidelines.
  • Inspects equipment and supplies daily to ensure that the assigned vehicle is in compliance with all state and local laws and requirements.
  • Performs routine maintenance of quarters, station, and grounds.
  • Provides in-home and community-based patient assessments, interventions, follow-ups, and referrals.
  • Administers and assists with Medication-Assisted Treatment (MAT) services for individuals with opioid or substance use disorders, in collaboration with medical direction.
  • Assists patients with applications for Social Security, Medicaid, and other public assistance programs.
  • Connects patients with food, housing, transportation, and other vital resources.
  • Collaborates with social workers, case managers, peer support specialists, and other healthcare professionals to support care plans.
  • Engages with patients post-discharge from hospitals, detox, or emergency departments to support recovery, continuity of care, and relapse prevention.
  • Educates patients and families on chronic disease management, overdose prevention, and harm reduction practices (including Narcan administration).
  • Participates in ongoing case conferences, quality improvement meetings, and outreach events.
  • Drives a County and/or personal vehicle to perform required duties.
  • Performs the duties listed, as well as those assigned, with professionalism and a sense of urgency.

Benefits

  • $8,500 annual incentive in addition to the annual salary to all applicable bargaining unit employees who possess a State of Florida Paramedic certification and receive medical clearance certification by the Alachua County Medical Director.
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