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Emt
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**Introduction**:
Contracted medical staff will be working alongside uniformed Customs and Border Protection (CBP) Agents/Officers in secured federal facilities along the southwest border of the United States. These secured federal facilities are staffed and monitored by CBP personnel and/or contracted security staff 24 hours a day, 7 days a week to assure a safe working environment to include the co-located medical unit. Contracted medical staff work together with CBP personnel to provide health care services for persons of all ages, to include infants, children, adults, and pregnant females
**Mission**:
CBPs Office of the Chief Medical Office (OCMO) employs a family medicine model to provide frontline medical care for persons in CBP custody. This model provides a team of medical professionals comprised of physicians, advanced practice providers (e.g., physicians assistants, nurse practitioners) and support staff (e.g., Licensed Practical/Vocational Nurses, Paramedics, EMTs, Certified Medical/Nursing Assistants). These contracted medical teams provide basic assessment and medical treatment for persons in CBP custody to include emergency care as needed. OCMO is committed to ensuring a system of care that is ethical, responsible, and accountable through surveillance and monitoring activities that are in place.
**Licensure/Certification**:
**Licensure/Certification continued**:
- Basic Life Support (BLS) Certification must be from one of the following approved organizations:
- American Heart Association (AHA) BLS for health care providers
- American Heart Association Advanced Cardiac Life Support (ACLS), if applicable
- American Red Cross CPR/BLS for the professional rescuer
- Course components must include Adult, Pediatric, and Infant CPR, Foreign Body Airway Obstruction, and Automatic Defibrillator (AED) proficiency
- Applicant/ Employee must be certified upon hire and may also be a certified instructor
- BLS must be renewed prior to expiration date, and always kept in an active status
- Bilingual in English and Spanish encouraged, but not required.
**Education**:
- Graduate from an accredited Nurse Practitioner Program located in a State, the District of Columbia, or a U.S. territory. The degree issuing institution and/or program must be accredited by an entity recognized by the U.S. Department of Education.
- Must have a minimum of one year of clinical provider experience in direct patient care as
a certified nurse practitioner.
Experience in detention/correctional healthcare, ambulatory care, or a pediatric care setting encouraged, but not required
**Experience**:
- Must have a minimum of one year of experience in direct patient care as a licensed/certified NR EMT or NR Paramedic in the United States.
- Experience in detention/correctional or pediatric setting encouraged, but not required.
- Application of medical principles, clinical procedures, and techniques.
- Alertness and skill in providing care and reacting to emergency situations.
- Interpersonal skills to develop a rapport with patients and co-workers during which instructional and educational information is presented or shared.
- Basic safety, infection control, quality assurance, records management, statistical information gathering, etc.
- Skill in collecting a variety of laboratory samples.
- Supply requisition procedure and ability to complete requests for equipment repair, maintenance, or replacement if indicated.
**Duties and Responsibilities**:
- Performs medical history and physical assessment.
- Determines chief complaint.
- Performs vital signs electronically and manually, as indicated.
- Obtains medical histories and completes necessary paperwork on detainees entering the facilities including vital signs (Blood Pressure, Temperature, Pulse, Respirations, Pulse Oximetry), performing manually and electronic as applicable. Any medical concerns, abnormal findings or complaints are referred to a Physician or an Advanced Practice Provider (APP).
- Initiates and maintains compliance with DHS and CBP policies and any overriding accreditation standards that may apply.
- Works within licensure/certification, Scope of Practice, Guidelines for NR EMT/NR Paramedic, as provided by CBP contracted employer and the certifying authority or agency.
- Maintains compliance with standard operating procedures and protocols.
- Maintains patient confidentiality and privacy of medical records.
**Duties and Responsibilities continued**:
- Ability to properly use equipment and supplies in simple diagnostic and treatment procedures.
- Works within their Scope of Practice, facility Standing Orders/Standing Operating Procedures and protocols, and within the Collaborative Agreement.
- Maintains patient confidentiality and privacy of medical records, complies with HIPAA regulations, performs record keeping functions in accordance with program policies and the system of records management.
- Maintains non-involvement in the security aspect of patient ca
