Rural Healthcare Paramedic

Overview

Position Summary

Provides advanced life support to patients who are ill and/or injured. Transports and transfers patients and assesses the extent of an illness or injury to establish and prioritize medical procedure to follow in accordance with established protocols.

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.

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

Ultimately responsible for all aspects of patient care from the time of patient contact until transfer to a higher level of care.
Provide consistent, high quality prehospital care as outlined by the REMSA Standard of Care, local LEMSA Protocols, and accepted local and national treatment doctrines.
Drives and operates ambulances and other company vehicles safely, in accordance with established emergency driving guidelines.
Provide an exemplary, safe, professional demeanor at all times.
Acts as a catalyst for absolute integrity, confidentiality, and competency with patients, their families, the public, other agencies, coworkers, and REMSA management.
Maintain currency of all required certifications and licenses.
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.
Cooperates with other members of the REMSA team, including management and co-workers.
Provide support to partnering critical access hospital by working in the Emergency Room, if applicable.
Must be able to work overtime as required.
Other duties as assigned.

Qualifications/ Experience Requirements

Paramedic certification in the State of California required.
Nor Cal Certification required.
American Heart Association ACLS required.
American Heart Association PALS certification required.
American Heart Association BLS/CPR required.
Current PHTLS or equivalent required within six months of hire.
CA Ambulance Driver’s License with Medical Examiner’s Certification
Valid California or Nevada Driver’s license required with a clean driving record.
Low angle rope rescue certification is a plus.
Must possess excellent communication (written and verbal) skills.
Maintains a positive working attitude.
Self-starter requiring little oversight.
Must be adaptable to change and able to function in a team based management structure.

Additional skills:

Experience operating an emergency vehicle a plus.
Experience in an ALS system a plus.
Pre-hospital experience a plus.
Experience in EMS and public education; field or classroom a plus.

Supervision Exercised

No Supervision Exercised

Physical Effort/Working Conditions

This position will require mostly field work; staffing, driving and riding in an ambulance or medical aircraft. 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 company uniform, and protective clothing and equipment for all weather situations and air borne, and blood and body fluid exposure. Hazards include being in an ambulance driving red lights and sirens, dealing with confused and agitated patients, exposure to adverse conditions and trauma scenes, exposure to unknown diseases and working in a restricted area. May work in a rural backcountry setting, or be required to hike short or long distances.

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.
Driving an ambulance and other emergency vehicles.
Company Computer Use Requirement

It is REMSA’s expectation that all employees in all positions utilize the available company computer systems. These systems allow management to properly communicate with all employees and provide detailed information in various areas of employment. It is your responsibility to review your company email for these important communications.

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 REMSA 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, Advanced EMT, 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.

Miscellaneous
California “At-Will” Employment – As a reminder, your employment with REMSA is “at-will” and voluntarily entered into, for no specified period of time. As a result, you are free to resign at any time, for any reason, or for no reason, as you deem appropriate. REMSA will have a similar right, and may terminate your employment at any time, with or without cause.

In addition, REMSA reserves the right to refine and/or redefine jobs and positions to meet the demands of its changing business needs.

 

*Extensive Full-time Employee benefit package (PTO, Paid sick time, holiday time off, 
Bereavement pay, jury duty, affordable health insurance for self or family, 401K, 
Cell phone discount, Obstetrics benefit plan, ect.) 
 TRANSITIONAL HOUSING/TEMPORARY TRAVEL HOUSING ACCOMODATIONS! 

CA Paramedic certification, Nor cal Certification, ACLS/PALS/BLS/CPR certified

Minimum Education and Experience