PARAMEDIC

NAVAJO HEALTH FOUNDATION - SAGE MEMORIAL HOSPITAL, INC.•Ganado, AZ

21d

About The Position

Under the direct supervision of the Emergency Department Medical Director, the Paramedic provides basic to advanced emergency paramedical care to ill and injured patients, prepares patients for transport, transfers clinical information, and provides patient care. During non-transport times, the Paramedic serves as an additional hospital resource. During working hours, the Emergency Department Charge Nurse on shift supervises the Paramedic and coordinates assignments and transport for the scheduled shift. The role includes performing authorized clinical procedures, assisting nursing staff, collecting and documenting patient information, supporting daily care and mobility, assisting with emergency and resuscitation procedures, and maintaining a safe, clean, and prepared care environment. The Paramedic reassesses patients after interventions, reports changes in condition, documents care and handoffs, follows infection-prevention and safety requirements, and participates in competency validation, continuing education, quality improvement, drills, and safety reporting. For interfacility transports, the Paramedic verifies that staffing, equipment, medications, oxygen, transport resources, orders, acceptance, and transfer documentation are appropriate to the patient’s needs. The Paramedic assesses and monitors the patient during transport, maintains authorized therapies, responds to deterioration within scope and protocol, communicates with relevant care and transport personnel, and completes handoff and post-transport documentation and readiness tasks. The role may involve operating or riding in emergency vehicles; driving is limited to personnel authorized and qualified by the organization. Work is generally performed in a hospital setting with a moderate noise level. Extended hours and irregular shifts may be required. The position involves frequent physical activity and potential exposure to blood and body fluids, infectious disease, hazardous materials, combative behavior, traumatic events, extreme weather, roadway hazards, vehicle motion, and irregular or prolonged shifts. Reasonable accommodation will be considered in accordance with applicable law.

Requirements

High school diploma or equivalent.
Completion of an accredited paramedic education program.
Current, unrestricted Arizona State Paramedic certification or licensure required by the jurisdiction of practice.
Current and active National Registry Paramedic certification.
Current Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) credentials.
Current Pediatric Advanced Life Support (PALS) credential or approved equivalent within 30 days of hire.
Current valid driver’s license and acceptable driving record when driving duties are assigned.
Provide a current MVD driving record history report for the last five years.
Ability to obtain a Navajo Nation Vehicle Operator’s permit within 45 days of hire.
Successfully complete an approved Emergency Vehicle Operator Course (CEVO/EVOC) within 45 days of hire.
Ability to pass DOT Physical requirements within 45 days of hire.
Successfully pass Employee Health Program requirements and background investigation.
Sound knowledge of patient assessment, emergency care, advanced life support, infection prevention, medication safety, and safe patient transport.
Ability to prioritize rapidly, recognize clinical deterioration, follow standing orders, obtain medical direction, and work effectively during emergencies.
Effective verbal, written, radio, and electronic communication skills, including structured clinical handoffs.
Ability to collaborate while understanding role boundaries, delegation, supervision, and chains of command.
Commitment to trauma-informed, culturally responsive, equitable, and patient-centered care.
Ability to maintain confidentiality and exercise sound judgment with protected health information.
Ability to meet the position’s physical demands, including frequent standing, walking, bending, reaching, pushing, pulling, crawling, stooping, kneeling, clinical manual dexterity, and lifting or moving patients or equipment using approved techniques and available assistive devices.
Ability to communicate and respond effectively in noisy or confined environments.

Nice To Haves

One or more years of recent paramedic experience in a high-acuity 911, emergency department, critical access, rural, or interfacility transport setting.
National Registry Paramedic credential.
Emergency pediatric, trauma, advanced airway, transport, or other relevant specialty education.
Experience with electronic health records, electronic patient care reports, cardiac monitors, infusion devices, and transport ventilatory equipment within validated competency.

Responsibilities

Perform peripheral intravenous line insertion and blood collection using appropriate aseptic technique within licensure scope.
Collect urine and stool samples and perform finger-stick blood glucose monitoring; document and report results to the Emergency Department RN.
Provide care authorized by applicable law, medical direction, organizational policy, and department protocols, limited to skills for which currently credentialed and competent.
Communicate patient information effectively, adapt to change, and maintain professionalism.
Maintain a clean, neat, and safe environment and follow infection-control, safety, and PPE requirements.
Participate in performance improvement initiatives and risk management reporting, and comply with National Patient Safety Goals and Core Measures.
Initiate and maintain approved monitoring and interventions, including as applicable cardiac monitoring, 12-lead ECGs, oxygen therapy, vascular access, specimen collection, medication administration, airway support, immobilization, hemorrhage control, and resuscitation assistance.
Assist nursing staff with delegated basic patient care and maintaining a clean, safe, and organized environment.
Collect and record patient data, including vital signs, height, weight, oxygen saturation, and intake/output, and report findings to the Emergency Department RN.
Assist patients with meals, feeding, bathing, oral care, grooming, linen changes, skin care, elimination, and urinary catheter care.
Assist with patient positioning, repositioning, dangling, ambulating, and use of mobility aids.
Assist with emergency procedures, trauma and medical resuscitations, patient movement, splinting, wound care, equipment setup, and other delegated clinical activities.
Reassess patients after interventions, document treatment responses, and promptly report changes in condition.
Support patient flow by preparing treatment spaces, restocking supplies, checking emergency equipment, transporting patients within the facility, and completing environmental readiness tasks.
Use standard and transmission-based precautions and PPE; follow exposure-control and infection-prevention requirements.
Communicate respectfully, provide age-appropriate care and clear explanations, and protect privacy and confidentiality.
Maintain continuous visual observation of patients when required, remaining with them until relieved by appropriate personnel.
Document care and handoffs within required timeframes.
Participate in competency validation, continuing education, drills, case review, quality improvement, safety reporting, and equipment or medication checks.
Report errors, near misses, hazards, equipment failures, exposures, injuries, and unusual events through established channels.
Maintain current knowledge of department policies, EMS protocols, medication requirements, transfer procedures, and emergency preparedness responsibilities.
Demonstrate professional conduct, teamwork, situational awareness, accountability, and respectful communication in high-stress environments.
Perform other duties consistent with certification, competency, and organizational policy as assigned; maintain regular and reliable attendance and comply with policies and standards.
Review transport assignments and confirm that authorized care level, staffing, equipment, medications, oxygen, and transport resources meet anticipated patient needs; escalate mismatches before assuming care.
Receive a complete handoff, perform and document a pre-transport assessment, verify ordered therapies, and confirm transfer paperwork and destination information.
Verify receiving-facility acceptance and required transport orders or medical direction in accordance with law, policy, and protocol.
Check operation and security of monitors, oxygen systems, airway equipment, infusions, medications, stretcher restraints, and other equipment before departure.
Monitor patients during transport as clinically indicated, maintain ordered therapies within authorized scope, and reassess and document condition, interventions, and responses as ordered.
Recognize deterioration, initiate approved emergency care, obtain online medical direction when indicated, and redirect to an appropriate facility when required by condition and protocol.
Communicate with dispatch, the sending team, medical control, the receiving facility, the patient, and the transport partner.
Provide a structured bedside handoff and transfer required records, patient belongings, and responsibility for care to authorized receiving personnel.
Complete transport documentation, medication and equipment reconciliation, cleaning and disinfection, supply replacement, and vehicle-readiness activities promptly after each transport.
Operate or ride in emergency vehicles safely and comply with seatbelt, lifting, securement, traffic-safety, and fatigue-management requirements; drive only when authorized and qualified.