Critical Care Paramedic: Flight and Ground

MedStar Health
United States, Maryland, Lanham
Nov 08, 2024
General Summary of Position Provides comprehensive emergency medical care to the critically ill and injured during helicopter and ambulance transport from accident scenes, and referring hospitals, under the direction of medical control physicians. Receives direct supervision from the Operations Managers. May at times receive functional supervision from the VP Director, AVP Clinical Operations, and Medical Director. Must maintain a weight not to exceed 250 pounds in gear. Required to work in confined space with exposure to extreme temperatures, vibration and altitude; and to stand for extended periods of time. Required to physically lift and transfer patients, and lift and move equipment used for patient care and other sensory facility to provide patient care. Communicates directly and uses aircraft headsets, radios and telephones with patients, physicians, and other staff in emergency and daily patient care activities. May be exposed to personal safety hazards in both air and ground transport. Primary Duties and Responsibilities Delivers expert patient care in helicopters and ambulances to multiple patient types including scene work, adult subspecialties, pediatrics, and high-risk obstetrics. Assesses patient care needs, establishes priorities and delegates tasks to peers and ancillary support staff as appropriate. Assesses the needs of patients with highly complex problems. Identifies current and potential complex problems, critically analyzes trends and changes in patient status, and plans appropriate interventions directly or indirectly through other nurses and paramedics Performs basic and advanced airway techniques and treatment modalities, including oxygen therapy, airway maintenance, assisted ventilation, insertion of supraglottic airways, nasal and orotracheal intubation, rapid sequence pharmacological induction to facilitate intubation, surgical cricothyroidotomy, and needle thoracostomy. In collaboration with the Critical Care Transport Specialist - RN, monitors and evaluates invasive and non-invasive techniques/procedures and their therapeutic effects, including the monitoring and operation of the intra-aortic balloon pump (IABP), Ventricular Assist Devices (VAD), and intracranial monitoring devices during transport. Troubleshoots these devices, recognizes problems, and makes necessary corrections. Recognition and intervention of abnormal parameters includes potentially lethal cardiac dysrhythmias requiring electric cardioversion and defibrillation. Performs a variety of clinical duties including, but not limited to: insertion of nasal and oral gastric tubes and management of autologous blood transfusion systems. Initiates and maintains venous access and intraosseous lines. Maintains program readiness and ensure cleanliness and appropriate par levels of supplies used by MedSTAR Transport. Ensures helicopter or ambulance readiness with daily review of equipment and supplies and records findings on daily vehicle checklists. Ensures safe operations during transport-related activities. Assists with helicopter safety training as directed by pilot in command. Also ensures safe operations during ambulance related activities in coordination with Emergency Vehicle Operator. Evaluates and documents risks and hazards on all transports and in in daily operations in conjunction with current risk assessment and reporting tools as part of the Safety Management System. Acts as safety officer for specialty team flights, including neonatal transports, organ recovery transports, etc. Minimum Qualifications Education High School Diploma or GED required Successful completion of the Department of Transportation (DOT) module Paramedic course required Specialized and/or advanced clerical, technical or other vocational training acquired during 1 - 2 years of additional job-related training preferred Experience 3 years experience as an NREMT-P required Significant field experience in a high acuity, high volume EMS system, and/or pre/intra hospital transport experience preferred Licenses and Certifications NREMT - National Registry of Emergency Medical Technicians-Paramedic required ACLS - Advanced Cardiac Life Support Certification required BLS - Basic Life Support required LP - Licensed Paramedic in the District of Columbia within 90 Days required LP - Licensed Paramedic in Maryland within 90 Days required LP - Licensed Paramedic in Virginia within 90 Days required PHTLS within 180 Days required or Health Services \ Transport Prof Adv Trauma Crse - TPATC within 180 Days required or ATLS - Advanced Trauma Life Support Certification within 180 Days required or ATCN - Advanced Trauma Care Nurse Certification within 180 Days required PALS - Pediatric Advanced Life Support Certification required Health Services\NRP - Neonatal Resuscitation Certification within 90 Days required STABLE - Neonatal Certification Certification within 90 Days required NIH - National Institute of Health Stroke Scale Certification within 90 Days required FEMA ICS 100 Course (Federal Emergency Management Agency - Incident Command System) within 90 Days required FEMA ICS 200 Course (Federal Emergency Management Agency - Incident Command System) within 90 Days required FP-C - Flight Paramedic - Certified from the Board for Critical Care Transport Paramedic Certification (BCCTPC) within 2 years required or CCP-C - Critical Care Paramedic - Certified from the Board for Critical Care Transport Paramedic Certification (BCCTPC) within 2 years required Completion of approved Emergency Vehicle Operations Course (e.g., CEVO, EVOC) prior to release from orientation required This position has a hiring range of $31.94 - $53.65