Lead Paramedic
12 days ago
Sells
Job Description PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. Position Summary: This position's primary duties and responsibilities involve caring for injured and ill patients, transporting patients from the field to a medical facility or from one medical facility to another medical facility. Scope of Work: The position serves within the Tohono O'odham Nation Sells Hospital, Emergency Medical Services Staff, located at Sells, Arizona. The incumbent serves as the Paramedics and Health Technicians (EMTs) leader, who provide appropriate on-site care to patients. Supervision and direction within assignment in terms of defined functions are provided by the immediate supervisor or designee. Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): • Assigns work assignments of paramedics and EMTs on duty; equally distributes workload according to established workflow and ensures the timely accomplishment of the work assigned., • Makes day-to-day adjustments per established priorities, obtaining assistance from the supervisor with issues that arise., • Maintains records of work accomplishments; instructs employees in specific tasks and job techniques., • Provide on-the-job training to employees per established procedures and practices., • Identifies areas not meeting established standards; ensures personnel is aware of hazardous working conditions and safety requirements in accordance with standards set by the Department and OSHA., • Ensures proper handling of staff and patients in a mass casualty incident, using procedures set forth by the National Incident Management System., • Ensures all departmental equipment is in proper working order, affecting repairs or sending equipment to the appropriate repair facility as needed., • Ensures departmental vehicles are road safe and ready to be used at all times., • Send all departmental vehicles to the proper repair facilities according to GSA guidelines and recommendations (i.e., preventive maintenance, tire repair, and post-accident)., • Ensures proper documentation is accomplished on all activities by self and subordinates., • Assists with conflict resolution and reports all significant incidents to the supervisor., • Independently conducts a complete patient assessment., • Identifies and treats trauma and medical emergencies using advanced knowledge of topographic anatomy, major body systems, advanced emergency medical techniques, and the legal considerations of emergency care., • Identify the signs and symptoms of life-threatening versus non-life-threatening, trauma, and medical conditions and provide appropriate advanced treatment according to the Arizona Department of Health Services approved protocols., • Assist with moving, lifting, and carrying patients to emergency vehicles and appropriate treatment facilities., • Recognize fractures, dislocations, and sprains; treat various eye injuries, e.g., impaled objects, chemical and heat burns, cardiac abnormalities, diabetic-related problems, compromised renal function problems, and various other medical and trauma-related issues., • Supervises field treatment on the scene, en-route, or until definitive care can be provided., • Assess the scene, recognize the need for ancillary personnel, and request additional personnel as needed; triage the patient(s); perform primary and secondary patient assessment; search for medical alert symbols; make modifications to protocol if necessary; and determine the nature, extent, and seriousness of the patient's condition., • Respond to and return from emergency calls using advanced knowledge of local road systems, traffic, road, and weather conditions., • Safely operate emergency and patient transport vehicles under all types of weather and traffic conditions, selecting the most expeditious and appropriate route to and from the emergency site while adhering to governing traffic ordinances and laws on the operation of an emergency vehicle., • Perform patient care and transport duties using advanced skills and familiarity with emergency and patient transport vehicles. Determine which Emergency Medical Service transport modalities to use as determined by the patient's needs and ensure the patient's safety is not compromised. Safely transport patients to various destinations., • Perform safety and maintenance inspections; perform minor repairs on emergency and patient transport vehicles and equipment., • Use radio equipment following FCC procedures and effectively communicate orally and in writing with medical and ancillary personnel using extensive emergency communication techniques and operating communication equipment., • Communicate and transmit EKG information to treatment facility; supervise all communication from the field; contact ancillary personnel using various communication devices, and orally report clearly and concisely patient assessment and treatment administered., • Maintain Administrative Base Hospital relations as directed by the Department., • Contribute to a team effort., • Knowledge of the Tohono O'odham culture, customs, and traditions., • Knowledge of the local road system and selecting and planning the safest route to expedient transport to the proper health care facility., • Knowledge of dispatching and dispatch procedures/guidelines, including 911, radio, and telephonic communication systems., • Knowledge in advanced emergency medicine techniques sufficient to determine the approach or combination of methods that will most effectively sustain the patient's life. These include manual defibrillation, synchronized cardio-version, and all Advanced Cardiac Life Support skills., • Knowledge of proper vehicle allowance, as set forth by GSA., • Knowledge of mass casualty incidents, including recognizing when the system is overloaded, requires assistance by other agencies/departments., • Knowledge in Incident Management (NIMS) techniques and implementation., • Knowledge of topographic anatomy to accurately transmit location information about the patient., • Knowledge of the major body systems to perform a patient examination, provide patient care, and ensure appropriate patient handling., • Knowledge of procedures, policies, directives, and guidelines to assist employees., • Knowledge of the Privacy Act of 1974 and maintain the confidentiality of all administrative, medical, and personnel records., • Knowledge of Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (HIPAA)., • Advance knowledge to sufficiently understand emergency care's legal considerations, e.g., actual/implied consent and Good Samaritan laws, to limit the government and the paramedic's exposure to lawsuits while maintaining the legal standards of care., • Skill in using emergency communication techniques and operating communication equipment to accurately obtain and relay information from dispatchers and health care providers., • Skill and familiarity with emergency and patient transport vehicle characteristics to safely operate these vehicles under all weather and traffic conditions while transporting patients., • Skill working with patients of all ages, understanding the effects of treatment modalities and medications on persons from birth to advanced age., • Ability to recognize medical, environmental, obstetrical, traumatic, and surgical emergencies; obtain and interpret diagnostic signs and symptoms (i.e., blood pressure, pulse, respiration, etc.)., • Ability to aid in extricating patients from wrecked vehicles and other confining/entrapping situations safely; swift water rescue., • High School Diploma or General Education Diploma, and, • Five years of work experience as a Paramedic, and, • Certification as a Paramedic Level Emergency Medical Technician with the State of Arizona., • Must maintain current certification as a Paramedic (EMCT-P) in the State of Arizona and certification in CPR, Advance Life Support (ACLS), and Pediatric Advanced Life Support (PALS) as a condition of employment., • Associate Degree in Medical Services Technology or closely related, preferred., • The position requires drug and alcohol testing, and the incumbent must submit to a drug test and receive negative drug test results before employment. In addition, this position is subject to random testing for illegal drug use., • Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record., • May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years)., • If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles., • Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.