The Paramedic’s job function is to transport sick and injured persons by ambulance in a manner conducive to their safety and comfort and to administer Basic and Advanced Life Support level pre-hospital care and treatment within the limits defined by the State of Ohio law and LifeCare Medical Director.
The paramedic is an extension of the EMT must initially and continually, utilize basic EMT level skills on every call he or she is involved in. Therefore the “Emergency Medical Technician” job classification duties and responsibilities are adopted into the “Emergency Medical Technician – Paramedic” job classification and specific paramedic level duties will only be presented further.
Patient Care Responsibilities
- Develops, directs, delegates, and participates in the plan of both BLS and ALS patient care in the pre-hospital setting utilizing both written medical guidelines as established by LifeCare’s Medical Director and direct medical control with hospital emergency departments via radio and/or telephone communications.
- Recognizes the need for and administers Advanced Life Support procedures when the patient condition warrants.
- Performs the following paramedic skills competently and to the standards set by the LifeCare EMS Academy, utilizing written guidelines as established by LifeCare’s Medical Director, under orders given by a hospital emergency department with which he or she has established voice communications, or as ordered by a competent on scene physician:
- Endotracheal intubation (nasal or oral)
- Esophageal gastric tube airway insertion
- Endotracheal/gastric tube airway suctioning
- Cricothyrotomy/tracheotomy tube suctioning
- Needle thoracostomy
- IV establishment and therapy
- EKG Monitoring
- Defibrillation / Cardioversion
- Administration of medications via Oral, ET, IM, SQ, SL, IVP, IO and IV infusion routes
- Paramedic level patient assessment
- Paramedic level radio communication and telemetry
- Paramedic level documentation
- Proficient in Basic and Advanced Life Support levels of patient care, and able to integrate each effectively to produce optimal patient care.
- Provide care that is observant and responsive to patient needs as they arise.
Duties and Other Responsibilities
- Assures the presence and functionality of all ALS level equipment and its replacement and restocking if used.
- Assumes responsibility and accountability for the standard of medical care delivered to patients.
- Assumes responsibility for proper documentation of ALS level of care when instituted.
- Assumes responsibility for proper disposal and/or cleaning of contaminated material in compliance with OSHA rules and regulations.
- Maintains an active participation in continuing education programs assuring a high level of job proficiency on a theoretical and practical basis and sufficient State of Ohio continuing education recertification hours.
- In the absence of the Paramedic Crew Chief a paramedic may be delegated as “Acting Crew Chief” and will be responsible for coordinating the ambulances to allow for the smooth and efficient operation of the service or service area he or she is delegated to.
- Performs other job related duties as may be assigned or required to allow for the smooth and efficient operation of the LifeCare Ambulance Service.
- Must be currently licensed in the State of Ohio as an EMT-Paramedic.
- Must have a current Advanced Cardiac Life Support provider certificate from the American Heart Association.
- Must have a current Basic Cardiac Life Support provider certificate from the American Heart Association.
- Must secure and maintain American Heart Association PALS (Pediatric Advanced Life Support) or PEPP (Pediatric Emergency Prehospital Provider) and ITLS (International Trauma Life Support – Advanced) certifications immediately after beginning employment with LifeCare.
- Must be knowledgeable regarding the State of Ohio’s laws regarding the functioning of EMT’s & Paramedics.
- Must be able to pass a written, oral, and practical EMT and Paramedic level test administered by the LifeCare EMS Academy.
- If driving, must have a valid State of Ohio Driver’s license
- Must have maintained a drivers license for at least the previous two years
- Must keep a clean driving record
- Any points against license must be reported and could be due cause for dismissal.
- All employees must also meet all requirements imposed by the state and federal governments with respect to individuals involved with medical transportation, as well as all requirements of LifeCare’s insurance provider.
- Must physically be able to fulfill the role of EMT – Paramedic, with or without a reasonable accommodation which includes, but is not limited to Lifting & Moving patients a. weighing up to 150 pounds without assistance b. weighing up to 300 pounds with the assistance of one other crew member.
- Suggested to have 1-2 years previous Paramedic experience with an emergency medical service.