Paramedic

SEMSA - Reno, NV4.2

Full-time
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Qualifications/ Experience Requirements

At time of hire:
Current Paramedic in the State of California required.
Current ACLS required.
CA Ambulance Driver’s License – CA Resident
Current CPR required.
Current PHTLS / ITLS required.
Current PALS certification required.
Medical Examiner’s Certification
Norcal Certification
NREMT-Paramedic
Valid Nevada / California Driver’s license required.
Experience in a high performance ALS system beneficial.
Experience in EMS and public education; field or classroom based desired.
Pre-hospital experience preferred.

Additional skills:
Experience operating an emergency vehicle a plus, a clean driving record mandatory.
Knowledge of medical policies, procedures and the SEMSA Standard of Care.
Must possess excellent written and verbal skills.
Self starter requiring little oversight.
Must be adaptable to change and able to function in a team based management structure.

Supervision Exercised

No Supervision Exercised

Position Accountabilities

This position has contact with the staff of base hospitals, and outlying hospitals; with physicians, public service agencies (fire, police, highway patrol) and ground ambulance personnel; patients and their families; and with various service groups for public relations and educational purposes.

This position has the authority to determine medical and therapy based on the assessment of the patient in keeping with established protocols; safety decisions involving patient and aircraft/ambulance; whether or not additional equipment should be taken; in triage, who to transport and setting of priorities; and the care, inventory, and ordering of standard medical supplies.

Decisions that must be referred to the supervisor are management decisions outside established policies and procedures; flight requests outside of normal administrative guidelines – distance, search and rescue, private residence, prearranged transports, long distance transports; ride-alongs; equipment purchase and addition/deletion of different drugs; changes in medical protocol; and the coordination of public relations request.

Within this general framework, this position is accountable for the following functions:

Provide consistent, high quality prehospital care as outlined by the SEMSA Standard of Care, Protocols, and accepted local and national treatment doctrines.
Provide an exemplary, safe, professional demeanor at all times.
Provide a catalyst for absolute professionalism, integrity, confidentiality, and competency with patients, their families, the public, other agencies, coworkers, and SEMSA management.
Dedication to the commitment of self-improvement and life-long learning.
Maintain currency of all required certifications and licenses.
Maintain and improve EMS leadership skills reading books and periodicals, and by attending classes, meetings and seminars.
Provide feedback to management for improvement of working conditions, patient care, and system performance.
Responsible for timely, legible, highly accurate recordkeeping.
Assumes the role as educator for the public, students, and coworkers.
Ultimately responsible for all aspects of patient care from the time of patient contact until transfer to a higher level of care.
Willing to work overtime as necessary.
Other duties as assigned.
Company Computer Use Requirement

It is SEMSA’s expectation that all employees in all positions utilize the available company computer systems, including company email. These systems allow management to properly communicate with all employees and provide detailed information in various areas of employment. All of these links can be found on the company main webpage www.sierramed.org.

Physical Effort/Working Conditions

This position will require mostly field work; staffing and riding in an ambulance or medical helicopter. Will be required to perform under adverse working conditions. The incumbent is required to lift over 100 pounds as many as 20 times daily. Must be able to walk, stoop, climb, twist, bend, run, sit, squat, kneel, and work in awkward positions when moving patients from all types of locations and within the ambulance. Must wear special uniform, and protective clothing for all weather situations and air borne, and blood and body fluid exposure. Hazards include being in an ambulance running red lights and siren, dealing with confused and agitated patients, exposure to adverse conditions and trauma scenes, exposure to unknown diseases and working in a restricted area.

Essential Job Tasks

This position will require fieldwork - staffing and riding in an ambulance or medical helicopter. The candidate will be required to perform under adverse working conditions. These conditions may require special uniforms or protective clothing for all weather and airborne and bloodborne exposures. Candidates must able to walk, stoop, climb, twist, bend, run, squat, kneel, and work in awkward positions when moving patients from all types of locations and within the ambulance or helicopter.

Additionally, the candidate will be required to perform various lifts and transfers of patients who may require the use of one or more of the following items: gurney, scoop stretcher or backboard, stair chair, wheel chair, neonate isolet, and possibly a two person manual transfer.

Essential job tasks are defined as follows:
Independent lift and carry for 100 feet of essential medical response equipment (i.e., first out bag, oxygen duffel, and cardiac monitor)
Lift one end of a patient laden gurney from mid level to high level.
Lift one end of a patient laden scoop stretcher or backboard from ground level to mid level gurney.
Lift and pivot one end of a patient laden scoop stretcher or backboard over chest height obstacle.
Carry one end of patient laden scoop stretcher or backboard up and down stairs.
“Sit-pick” transfer of patient from chair to gurney.
Lift, carry, and wheel patient laden “stair chair” up and down stairs.
Lift one end of patient laden scoop stretcher or backboard to head height.
Push patient laden neonate isolet up 45° ramp into ambulance.

Additional hazards may include being in an ambulance operating under emergent conditions (e.g., with red lights and siren); flying in a helicopter under various weather conditions; dealing with confused and agitated patients exposure to adverse conditions on trauma scenes; exposure to known and unknown diseases; and working in confined spaces.

Job Responsibilities Relating to Patient Privacy

The incumbent is expected to protect the privacy of all patient information in accordance with the Company’s privacy policies, procedures, and practices, as required by federal [and state] law, and in accordance with general principles of professionalism as a health care provider. Failure to comply with the Company’s policies and procedures on patient privacy may result in disciplinary action up to and including termination of employment or of membership or association with SEMSA or any of its affiliated companies.
The incumbent may access protected health information and other patient information only to the extent that is necessary to complete your job duties. The incumbent may only share such information with those who have a need to know specific patient information you may have in your possession to complete their job responsibilities related to treatment, payment or other company operations.
The incumbent is encouraged and expected to report, without the threat of retaliation, any concerns regarding the Company’s policies and procedures on patient privacy and any observed practices in violation of that policy to the designated company Privacy Officer.
The incumbent is expected to actively participate in Company privacy training and updates made available to you. It is required to communicate privacy policy information to coworkers, students, patients and others in accordance with Company policy.

Protected Health Information Role Based Access
Access to Protected Health Information (PHI) will be limited to those who need access to PHI to carry out their duties. The following describes the specific categories or types of PHI specific to this job description.

Job Title

Description of PHI to Be Accessed

Conditions of Access to PHI

Flight Paramedic Flight Nurse Paramedic, EMT Basic

Intake forms from dispatch, patient care reports, patient information forms from involved care facilities.

May access as part of completion of a patient care event and post-event activities, for quality improvement review, for addressing complaints and concerns.


Qualifications/ Experience Requirements

At time of hire:
  • Current Paramedic in the State of California required.
  • Current ACLS required.
  • CA Ambulance Driver’s License – CA Resident
  • Current CPR required.
  • Current PHTLS / ITLS required.
  • Current PALS certification required.
  • Medical Examiner’s Certification
  • Norcal Certification
  • NREMT-Paramedic
  • Valid Nevada / California Driver’s license required.
  • Experience in a high performance ALS system beneficial.
  • Experience in EMS and public education; field or classroom based desired.
  • Pre-hospital experience preferred.
Additional skills:
  • Experience operating an emergency vehicle a plus, a clean driving record mandatory.
  • Knowledge of medical policies, procedures and the SEMSA Standard of Care.
  • Must possess excellent written and verbal skills.
  • Self starter requiring little oversight.
  • Must be adaptable to change and able to function in a team based management structure.
Supervision Exercised

No Supervision Exercised

Position Accountabilities

This position has contact with the staff of base hospitals, and outlying hospitals; with physicians, public service agencies (fire, police, highway patrol) and ground ambulance personnel; patients and their families; and with various service groups for public relations and educational purposes.

This position has the authority to determine medical and therapy based on the assessment of the patient in keeping with established protocols; safety decisions involving patient and aircraft/ambulance; whether or not additional equipment should be taken; in triage, who to transport and setting of priorities; and the care, inventory, and ordering of standard medical supplies.

Decisions that must be referred to the supervisor are management decisions outside established policies and procedures; flight requests outside of normal administrative guidelines – distance, search and rescue, private residence, prearranged transports, long distance transports; ride-alongs; equipment purchase and addition/deletion of different drugs; changes in medical protocol; and the coordination of public relations request.

Within this general framework, this position is accountable for the following functions:

  • Provide consistent, high quality prehospital care as outlined by the SEMSA Standard of Care, Protocols, and accepted local and national treatment doctrines.
  • Provide an exemplary, safe, professional demeanor at all times.
  • Provide a catalyst for absolute professionalism, integrity, confidentiality, and competency with patients, their families, the public, other agencies, coworkers, and SEMSA management.
  • Dedication to the commitment of self-improvement and life-long learning.
  • Maintain currency of all required certifications and licenses.
  • Maintain and improve EMS leadership skills reading books and periodicals, and by attending classes, meetings and seminars.
  • Provide feedback to management for improvement of working conditions, patient care, and system performance.
  • Responsible for timely, legible, highly accurate recordkeeping.
  • Assumes the role as educator for the public, students, and coworkers.
  • Ultimately responsible for all aspects of patient care from the time of patient contact until transfer to a higher level of care.
  • Willing to work overtime as necessary.
  • Other duties as assigned.
Company Computer Use Requirement

It is SEMSA’s expectation that all employees in all positions utilize the available company computer systems, including company email. These systems allow management to properly communicate with all employees and provide detailed information in various areas of employment. All of these links can be found on the company main webpage www.sierramed.org.

Physical Effort/Working Conditions

This position will require mostly field work; staffing and riding in an ambulance or medical helicopter. Will be required to perform under adverse working conditions. The incumbent is required to lift over 100 pounds as many as 20 times daily. Must be able to walk, stoop, climb, twist, bend, run, sit, squat, kneel, and work in awkward positions when moving patients from all types of locations and within the ambulance. Must wear special uniform, and protective clothing for all weather situations and air borne, and blood and body fluid exposure. Hazards include being in an ambulance running red lights and siren, dealing with confused and agitated patients, exposure to adverse conditions and trauma scenes, exposure to unknown diseases and working in a restricted area.

Essential Job Tasks

This position will require fieldwork - staffing and riding in an ambulance or medical helicopter. The candidate will be required to perform under adverse working conditions. These conditions may require special uniforms or protective clothing for all weather and airborne and bloodborne exposures. Candidates must able to walk, stoop, climb, twist, bend, run, squat, kneel, and work in awkward positions when moving patients from all types of locations and within the ambulance or helicopter.

Additionally, the candidate will be required to perform various lifts and transfers of patients who may require the use of one or more of the following items: gurney, scoop stretcher or backboard, stair chair, wheel chair, neonate isolet, and possibly a two person manual transfer.

Essential job tasks are defined as follows:
  • Independent lift and carry for 100 feet of essential medical response equipment (i.e., first out bag, oxygen duffel, and cardiac monitor)
  • Lift one end of a patient laden gurney from mid level to high level.
  • Lift one end of a patient laden scoop stretcher or backboard from ground level to mid level gurney.
  • Lift and pivot one end of a patient laden scoop stretcher or backboard over chest height obstacle.
  • Carry one end of patient laden scoop stretcher or backboard up and down stairs.
  • “Sit-pick” transfer of patient from chair to gurney.
  • Lift, carry, and wheel patient laden “stair chair” up and down stairs.
  • Lift one end of patient laden scoop stretcher or backboard to head height.
  • Push patient laden neonate isolet up 45° ramp into ambulance.
Additional hazards may include being in an ambulance operating under emergent conditions (e.g., with red lights and siren); flying in a helicopter under various weather conditions; dealing with confused and agitated patients exposure to adverse conditions on trauma scenes; exposure to known and unknown diseases; and working in confined spaces.

Job Responsibilities Relating to Patient Privacy

1. The incumbent is expected to protect the privacy of all patient information in accordance with the Company’s privacy policies, procedures, and practices, as required by federal [and state] law, and in accordance with general principles of professionalism as a health care provider. Failure to comply with the Company’s policies and procedures on patient privacy may result in disciplinary action up to and including termination of employment or of membership or association with SEMSA or any of its affiliated companies.

2. The incumbent may access protected health information and other patient information only to the extent that is necessary to complete your job duties. The incumbent may only share such information with those who have a need to know specific patient information you may have in your possession to complete their job responsibilities related to treatment, payment or other company operations.

3. The incumbent is encouraged and expected to report, without the threat of retaliation, any concerns regarding the Company’s policies and procedures on patient privacy and any observed practices in violation of that policy to the designated company Privacy Officer.

4. The incumbent is expected to actively participate in Company privacy training and updates made available to you. It is required to communicate privacy policy information to coworkers, students, patients and others in accordance with Company policy.

PROTECTED HEALTH INFORMATION ROLE BASED ACCESS
Access to Protected Health Information (PHI) will be limited to those who need access to PHI to carry out their duties. The following describes the specific categories or types of PHI specific to this job description.

Job Title

Description of PHI to Be Accessed

Conditions of Access to PHI

Flight Paramedic Flight Nurse Paramedic, EMT Basic

Intake forms from dispatch, patient care reports, patient information forms from involved care facilities.

May access as part of completion of a patient care event and post-event activities, for quality improvement review, for addressing complaints and concerns.

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