Paramedic

Overview

The Paramedic. Emergency Department (ED) - Marion is responsible for the delivery of safe and reliable patient care as defined by Iowa Emergency Medical Care Provider Scope of Practice September 2019 and as authorized by the Emergency Department Medical Director, in coordination with the healthcare team. The primary role of the Paramedic is the execution of providing required care and evaluation of the care given. Responsibilities include assessment, differential diagnosis related to focus problem areas, planning, implementation, and evaluation of care given. Performance of these responsibilities requires specialized knowledge, critical thinking and skills based on principles of psychological, social, physical, and biological sciences that utilize the paramedic scope of practice.

Responsibilities

Essential Functions/Responsibilities:

Essential functions are the duties and responsibilities that are essential to the position (not a task list). Do not include if less than 5% of work time is spent on this duty. Be specific without giving explicit instructions on how to perform the task. Do not include duties that are to be performed in the future. Duties should be action oriented and avoid vague or general statements.

% of Time

(annually)

Clinical Excellence/Patient Care

• In collaboration with other members of the emergency department team, assumes primary responsibility for the plan of care for a patient or group of patients, per unit standards and care required for the specified patient population.

• Effectively delegates tasks and responsibilities to other health care team members and assumes responsibility for follow-up and collaboration.

• Performs admission assessment process per specific department standards to include patient history, physical, and psycho-social assessment. Utilizes physical assessment data, diagnostic data (lab, radiology, diagnostic testing), pharmacological information and patient/family perceptions related to focus problem areas and identifying goals of care.

• Assumes responsibility for developing a plan of care that is mutually established with the patient and family. Each patient is treated as an individual, with their identified goals and expectations reviewed each shift to verify priorities.

• Implements the plan of care according to current standards of nursing practice, evidence-based practice, and hospital protocol/procedures.

• Integrates multidisciplinary approach to maintain comfort, support human functions and responses, and maintain an environment conductive to safety and well-being. Implements measures to promote a safe environment.

• Partners with healthcare team to achieve the patient care outcomes and goals of care.

• Administers medications and treatments within scope of practice.

• Works with neonates to the geriatric and all levels of care.

50%

Development & Patient Education

• Continues professional development and involvement in professional activities that enhance patient care practice by sharing knowledge through networking and research.

• Assess and chooses teaching strategies appropriate to the patient's and their families' age specific needs, culture, gender, readiness to learn and level of comprehension.

• Consults appropriate resources within the hospital to provide specialized education.

• Demonstrates knowledge that patient and workplace safety is a priority by preventing errors, accidents and infections and reporting potential or actual concerns immediately.

• Integrates patient/family teaching throughout the hospitalization, including the plan and goals of care, pre- and post-operative procedures, diagnostic procedures, and discharge teaching.

• Integrates preventative health maintenance into the education plan.

• Assists in the orientation of new team members by acting as a resource and mentor to team members

40%

Basic UPH Performance Criteria

• Demonstrates the UnityPoint Health Focus Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.

• Demonstrates ability to meet business needs of department with regular, reliable attendance.

• Employee maintains current licenses and/or certifications required for the position.

• Practices and reflects knowledge of HIPAA, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.

• Successfully completes hospital-wide orientation, annual hospital competencies and department specific competencies.

• Completes all annual education and competency requirements within the calendar year and defined targets.

• Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste, and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department team member related to compliance.

10%

Disclaimer: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

Demonstration of UPH Values and Standards of Behaviors

Consistently demonstrates UnityPoint Health's values in the performance of job duties and responsibilities

Foster Unity:

• Leverage the skills and abilities of each person to enable great teams.

• Collaborate across departments, facilities, business units and regions.

• Seek to understand and are open to diverse thoughts and perspectives.

Own The Moment:

• Connect with each person treating them with courtesy, compassion, empathy and respect

• Enthusiastically engage in our work.

• Accountable for our individual actions and our team performance.

• Responsible for solving problems regardless of the origin.

Champion Excellence:

• Commit to the best outcomes and highest quality.

• Have a relentless focus on exceeding expectations.

• Believe in sharing our results, learning from our mistakes, and celebrating our successes.

Seize Opportunities:

• Embrace and promote innovation and transformation.

• Create partnerships that improve care delivery in our communities.

• Have the courage to challenge the status quo.

Qualifications

Minimum Requirements

Identify items that are minimally required to perform the essential functions of this position.

Preferred or Specialized

Not required to perform the essential functions of the position.

Education:

• Completion of an accredited Paramedic Program

• Any further degrees.

Experience:

• Minimum of 2 years' experience on a paramedic ground ambulance service or related experience.

• Additional experience.

License(s)/Certification(s):

• Valid driver's license when driving any vehicle for work-related reasons

• Possess current PM licensure in the State of Iowa.

• State of Iowa Critical Care Paramedic Endorsement.

• BLS, ACLS, according to the standards of AHA.

• PALS will be successfully obtained within 6 months of hire.

• TNCC will be successfully completed within 1 year of hire and again every 4 years with a letter of completion.

• Training to recognize, reduce, and manage violent and/or aggressive behaviors

• Specialty certification

Knowledge/Skills/Abilities:

• Writes, reads, comprehends, and speaks fluent English

• Multicultural sensitivity

• Microsoft Office - basic computer skills

• Demonstrates proficiency in the manual skills and techniques required to perform basic/advanced care procedures in the administration of medication therapy and the operation of specialized equipment

• Ability to complete a basic computer course on the Electronic Medical Record (EMR) through in-hospital training

Other:

Use of usual and customary equipment used to perform essential functions of the position.

Work may occasionally require travel to other UPH facilities. May drive a UPH vehicle, rental, or own vehicle.

SCOPE: Position had supervisory responsibilities? Yes ? or No ? If yes, complete below.

Direct

Indirect

Total

Exempt

Non-Exempt

Total

Budget Control (Complete if position has budget responsibilities)

Annual Operating Budget (including payroll)

Annual Revenue/Sales

Other Scope Measurements

Pertinent to the position, such as number of beds, number of units/departments, number of employees leading, cases per month, etc.

Item

Number

Mental/Cognitive Demands:

(List any special mental and cognitive abilities required by the position in your specific environment)

• Must be able to communicate effectively with people of diverse professional, educational and lifestyle backgrounds.

• The environment may cause high stress levels due to constant interruptions, high volume urgency of issues, and interactions with a wide variety of professionals and personalities.

• Must be understanding and patient.

• Ability to work under time constraints.

• Must be able to work independently and assume responsibility for timely completing of assigned functions.

• Ability to understand and deal effectively with problems and opportunities.

• Ability to maintain confidential information.

• Exercises sound judgment, seeking advice when appropriate.

• Directs concerns regarding patient care and/or hospital policies to the Manager or appropriate designee.

• Respects patient confidentiality in all communication; fully adheres to St. Luke's Standards of Excellence and Code of Conduct.

WORKING CONDITIONS:

Physical Requirements

(Check all that apply if essential to perform job)

? Talk/Hear (communicate, detect, converse with, discern, convey, express oneself, exchange information)

? See (defect, determine, perceive, identify, recognize, judge, observe, inspect, estimate, assess)

? Stand or Sit (stationary position)

? Walk (move, traverse)

? Use hands/fingers to handle or feel (operate, activate, use, prepare, inspect, place, detect, position)

? Climb (stairs/ladders) or Balance (ascent/descent, work stop, traverse)

? Bend/Stoop/Kneel

? Squat/Crouch/Crawl

? Reaching/Twisting

? Taste/Smell (detect, distinguish, determine)

? Pushing/Pulling

Lifting Requirements

(Check appropriate category to perform job)

? Level 1; Sedentary Work: Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

? Level 2; Light Work: Exerting up to 20 pounds of force occasionally or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Requires walking or standing to a significant degree, pushing, or pulling arm or leg controls or maintaining a production rate pace. Light work requires physical exertion of forces greater than that of sedentary work.

? Level 3; Medium Work: Exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

? Level 4; Heavy Work: Exerting up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.

? Level 5: Very Heavy Work: Exerting in excel of 100 pounds of forces occasionally, and/or in excess of 50 pounds of force constantly to move objects.

Hazards and Atmospheric Conditions

(check all that apply)

? Normal Office Surroundings

? Vibration

? Exposure to Fumes

? Mechanical Hazards

? Exposure to Dust

? Chemical Hazards

? Exposure to Extreme Temperatures

? Electrical Hazards

? Wet and/or Humid

? Radiant Energy Hazards

? Noise

? Explosives Hazards

? Mists or Gases

? Burn Hazards

Other/Comments:

Precautions must be followed when working in any health care environment. May be exposed to violent or potentially violent patients.

OSHA Categories

(Complete this OSHA section for clinical/patient related jobs)

? Category I: Duties performed routinely require exposure to blood, body fluid and tissue.

? Category II: Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur.

? Category III: Normal routine involves no exposure to blood, body fluid, or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.

• Area of Interest: Patient Care;

• FTE/Hours per pay period: 0.9;

• Department: Emergency Department- Marion;

• Shift: Dayshift/Midshift. Rotating shifts. Weekend rotation. Holiday rotation.;

• Job ID: 147559;