Paramedic PRN

GENERAL DESCRIPTION

Provides paramedic-level emergency medical care to patients at the scene, in transport, and at the hospital.  Transports patients from the scene to the hospital or from one facility to another facility.  Directs the work of Emergency Medical Technician (EMT) and Advanced Emergency Medical Technician (AEMT) while on duty.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Routine duties shall include providing health care services to individuals eligible for services in accordance with the self-governance compact and funding agreement between the Cherokee Nation and the United States executed under the authority of the Indian Self-Determination and Education Assistance Act.
• Assures all patients receive medical care to the paramedic level according to the Cherokee Nation Ambulance Service Protocols.
• Operates and monitors specialized equipment such as mechanical cardiopulmonary resuscitators, EKG monitors, cardiac defibrillators, laryngoscopes, oropharyngeal suction equipment, oxygen delivery devices, and IV infusion pumps per paramedic protocols and medical control.
• Obtains a history on each patient's past and present medical problems, medications and allergies.
• Administers therapeutic measures as prescribed per protocol or medical control such as initiation of IV fluids, wound irrigation, nasogastric intubation, cardiac monitoring, defibrillation, tracheal intubation, and thoracentesis.
• Provides direction and supervision pertaining to patient care, scene management and maintenance to EMT students of all levels while students are on duty including at the scene, in transport, and at the medical facility.
• Maintains supplies and equipment on ambulance. Assures units are clean and safe.
• Takes charge on scene and oversees all aspects of patient care.
• Complies with the applicable state, tribal and federal regulations in regard to the security, safety and confidentiality of any health services record they create, maintain, transfer, or destroy, whether the record is written, taped, computerized, or stored in any other medium.

LEVEL OF RESPONSIBILITY

• Performs complex tasks typically following established processes.
• Comprehensive knowledge of the field's concepts and principles.

QUALIFICATIONS

• Associate’s degree from a two-year college or technical school as a Paramedic; or two (2) years (60 credit hours) of coursework from a 4-year college or institution; or three (3) years of related experience; or an equivalent combination of education and experience.
• An additional one (1) year as a Paramedic preferred.

COMPETENCIES

PHYSICAL REQUIREMENTS

While performing the duties of this job, the employee is frequently required to walk, reach with hands and arms, and talk or hear. The employee is occasionally required to stand; sit; use hands to finger, handle, or feel objects, tools, or controls; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move more than 100 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

OTHER REQUIREMENTS

• The employee must not be and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG's Cumulative Sanction Report, or the GSA's List of Excluded Providers, or listed on the OIG's List of Excluded Individuals/Entities (LEIE).
• Must possess a valid driver’s license with a driving history verified through a motor vehicle report that meets requirements for Cherokee Nation underwriting rating.
• Must possess and maintain a Paramedic License issued by the Oklahoma State Department of Health. 
• Must possess and maintain throughout employment, American Heart Association certification in Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) and or American Red Cross certification in Basic Life Support (BLS), Advance Life Support (ALS), and Pediatric Advanced Life Support (PALS).
• Must meet and maintain pre-employment and periodic background investigation and adjudication for child care.
• Must keep all knowledge and skills current through specific continued education as required by Oklahoma State Department of Health/EMS Division for renewing licensure.
• Must be able to operate all emergency medical equipment.
• Educated on and compliant with HIPAA regulations and maintains strict confidentiality of patient information.

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