Paramedic Critical Care

1900-0700

$5000 Hiring Bonus at 12 months

At Children's, the region's only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team-and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.

**A Brief Overview**

Provides high quality, individualized, family centered care to pediatric patients ranging from extreme prematurity through adolescence in the critical care transport environment. Care and transport of the critically ill patient is supported through the use of the Paramedic scope of practice in accordance with the Commission on Accreditation of Medical Transport Systems (CAMTS) standards and hospital policies and procedures. Varied schedules to include weekend and holiday patterns.

**Essential Functions**

+ Conducts individualized age-specific patient/family assessments according to defined paramedic standards, or protocols. (Individualized refers to the patient's developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Initial Assessment: - Collects and documents data related to patient's individualized care. - Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients. - Assesses patient/family need for education and uses an individualized approach in delivery style. - Assess and interprets patient data upon arrival at the referring hospital. Reassessment: - Performs reassessment based on unit standards, protocols and changes in patient condition. Communicates changes to appropriate persons (transport partner, MCP, family) as indicated. - Performs reassessments on transports after interventions and as needed. Communicates changes to transport partner, or medical control physician (MCP).

+ - Provides safe driving of the ambulance according to the Standards of the US Department of Transportation, the National Highway Traffic Safety Administration and EMS National Standards. - Utilizes lights and sirens as per Children's Policy adhering to standard safety practices.

+ Demonstrates responsiveness to the organizational functions of the transport process. - Maintains Response Times within targeted benchmarks set by the program. - Complies with ambulance, helicopter, and fixed wing operational safety in accordance with current guidelines. - Checks, cleans, and stocks transport bags and equipment. Ensures equipment is in good working order. - Maintains all transport equipment in a state of mission readiness by checking all equipment at the beginning of each shift, noting any discrepancies and ensuring steps toward resolution. - Cleans equipment and restocks bags after a transport. - Demonstrates knowledge of transport equipment location, function and restocking procedures. Demonstrates the ability to troubleshoot all equipment and ensures that all malfunctions are promptly reported. - Completes daily, weekly, monthly and ongoing equipment checklists. - Completes quarterly competencies, monthly education, aircrew training, and other educational and professional development requirements when assigned.

+ - Develops individualized patient/family plan of care using clinical practice guidelines to meet identified needs. (Plan of Care includes current and anticipated actions focused on stabilization, care, and transport needs.)Utilizes assessment data from the referral hospital or team as well as transport assessment data to individualize patient care and transport needs. - Utilizes individualized assessment data to develop the patient/family's plan of care. - Revises plan of care based on patient's condition and transport conditions (weather, distance, mode.) - Demonstrates ability to prioritize patient interventions based on assessments/reassessments. - While on transport, develops and initiates a plan of care incorporating current and potential problems requiring intervention, expected response and the medical plan of care in collaboration with transport partner, and/or the MCP. Communicates the plan to the receiving nurse prior to arrival at Children's Hospital or receiving facility.

+ Implements and evaluates actions in accordance with the individualized patient/family plan of care and patient condition/needs. - Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments. - Demonstrates clinical competence in administering interventions according to identified standards and age specific needs. - During the transport process, prioritizes and organizes care based on patient acuity, time limitations and consultation with transport partner and/or medical control physician. Initiates action to prevent current or potential risk to a patient in an emergency situation.

+ Documentation reflects accurate assessment/evaluation, modification, and patients response to therapy, changes in condition, and therapeutic interventions/procedures. - Entries into in the electronic medical record follow transport documentation policy. - Documentation is completed within established timeframes.

+ Regular attendance at work is an essential function of the job.

+ Perform physical requirements as described in the Physical Requirements section

+ Adherence to Transport Fit for Duty policy

**Education Qualifications**

+ Bachelor's Degree from an accredited college or university in Emergency Medical Services or related health care field Preferred and

+ Completion of a Paramedic program Required

**Experience Qualifications**

+ Minimum 3 years of ALS experience as a Paramedic Required and

+ Minimum 1 year of experience with pediatric patients Preferred

**Skills and Abilities**

+ Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills

+ Must be able to work in an environment which includes the use of ambulance, helicopter, and airplane patient transport vehicles that results in exposure to non-conventional motions, noise, vibration, fumes and extreme heat/cold.

**Licenses and Certifications**

+ Current and Valid Nebraska and National Registry Paramedic license Required and

+ Current and valid Basic Life Support (BLS) through the American Heart Association Required and

+ ACLS within 1 Year Required and

+ NRP - Neonatal Resuscitation within 180 Days Required and

+ PALS - Pediatric Advanced Life Support within 180 Days Required and

+ Current and valid Transport Professional Advanced Trauma Course (TPATC) within 1-1/2 Yrs Required or

+ Pediatric Advanced Transport Course (PATC) within 1-1/2 Yrs Required and

+ Incumbent holds active TPATC, TPATC will be accepted in lieu of PATC until it expires, at which time PATC will be required prior to the expiration of TPATC. Required and

+ Specialty Certification within 1-1/2 Yrs Required

+ Must have valid driver's license with an acceptable motor vehicle driving record Required and

+ Completed and passed the Coaching of Emergency Vehicle Operators Course within 1 Year Required and

+ Due to the aircraft the Organization utilizes for both rotary and fixed wing, all Transport applicants must be 225 lbs or under at time of hire. Upon Hire Required

Children's is the very best for kids and the very best for your career At Children's, we put YOU first so together, we can improve the life of every child

IND123

Make a meaningful difference improving the lives of children

At Children's, the region's only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team-and join us in providing brighter, healthier tomorrows for the children we serve.

**Requisition ID** : 19935