DEFINITION
Provides Basic and Advanced Life Support including medical evaluation, treatment and stabilization of both non-critically and critically ill or injured patients; responds to emergency rescue situations involving potential loss of life or severe bodily injury; maintains control, manages and directs patient care at the scene of a pre-hospital emergency; provides training and instruction to lesser trained personnel; operates and maintains assigned Mobile Intensive Care Unit as well as EMS Headquarters; performs other duties as required.
SUPERVISION RECEIVED AND EXERCISED
* Receives general supervision from the EMS Shift Supervisor.
* Receives technical and functional supervision from the Lieutenant and/or EMS Shift Captain.
* Exercises functional supervision over Paramedic I, Intern and Relief Medic classification.
ESSENTIAL JOB FUNCTIONS
Duties may include, but are not limited to, the following:
* Perform the full range of duties assigned to the Paramedic I classification.
* Lead and participate in the provision of pre‑hospital emergency medical care according to established medical standing orders provided by the Medical Director.
* Assist and coordinate with other emergency service agencies in rescue operations, motor vehicle accidents, and other emergency situations.
* Perform triage and a variety of emergency medical treatments at the Basic and Advanced Life Support level.
* Provide continuing care and treatment while enroute to an emergency medical facility and monitor and report changes in patient condition.
* Under medical direction and following prescribed standing orders perform a variety of invasive and non‑invasive therapies including but not limited to assessment and evaluation of the ill and injured, cardiopulmonary resuscitation and defibrillation, administration of drugs, agents and solutions, intubation and pulmonary ventilation, drawing of blood samples for analysis, application of dressing and bandages, control of shock, and immobilization of fractures, and all other skills contained within the Department of Transportation manual of knowledge objectives for Paramedics.
* Train and orient new Paramedic I, Intern and Relief Medic personnel as an assigned Field Training Officer.
* Lead and participate in training classes for the public on cardiopulmonary resuscitation, standard first aid, and emergency medical techniques.
* Lead and participate in public health screenings.
* Employ safe lifting and moving techniques.
* Act as a preceptor for EMS students.
* Operate radio communications and medical telemetry equipment. Keep records and logs of daily activity. Maintain ambulance vehicle, equipment and ambulance station.
* Perform related duties as assigned.
EMPLOYEE STATUS
All paramedic positions (except Relief Medic and Billing Specialist) are designated as “Emergency Essential” for purposes of civil emergencies and will be required to be available immediately before (Pre‑Impact), during (Emergency) and/or after the disaster or emergency condition (Post‑Impact/Recovery) to perform duties directly related to the emergency conditions, as determined by the City.
PHYSICAL REQUIREMENTS
For indefinite periods of time - mobility within an office and field environment; subject to infectious diseases, toxic waste, chemical, dust/mites, fume, odor, explosive, electrical and mechanical hazards; exposure to extreme cold, heat, temperature swings, constant noise and heights; working in trenches; walking; twisting body; stooping; standing; squatting; sorting; sitting; seeing; running; pushing, pulling, lifting, dragging, and carrying up to 150 pounds; climbing; crawling; reading; decision making; reaching above shoulder level; using both hands for simple and firm grasping; clarity of hearing; communicating clearly and effectively, in person and by two‑way radio; fine finger manipulation for writing and typing on a personal computer; operation of Advanced Life Support equipment and light rescue tools; operation of an emergency vehicle through city traffic.
QUALIFICATIONS
Knowledge of:
* Approved medical protocols, standing orders, policies, and procedures.
* Techniques of proper drug administration.
* Medical terminology and abbreviations.
* Medical characteristics of various drugs and solutions.
* Emergency driving techniques.
* Vehicle and equipment maintenance.
* Record keeping procedures and methods of documentation.
* All applicable local, state and federal regulations.
* Infectious disease universal precautions and decontamination of ambulance and equipment.
Ability to:
* Learn the geography of local area.
* Think and act quickly in emergencies, and judge situations and people accurately.
* Understand and carry out oral and written directions.
* Prepare concise and comprehensive written reports, while remaining within commonly accepted standards for grammar.
* Work safely under hazardous conditions.
* Perform cardiopulmonary resuscitation and defibrillation.
* Correctly administer therapeutic drugs and solutions.
* Maintain vehicle and equipment.
* Work 24 or 48 hour shifts to include weekends.
* Be on call 24 hours when necessary.
* Communicate clearly and concisely, both orally and in writing.
* Respond to directions from supervising personnel.
* Establish and maintain effective working relationships with co‑employees and those contacted in the course of work.
* Maintain sufficient personal health and physical fitness to perform all job duties.
TRAINING AND EXPERIENCE
A minimum of two years experience at a level equivalent to that of a Paramedic I in the City of La Porte and a High School Diploma or GED supplemented by specialized college level training in emergency medical techniques.
CONTINUING EDUCATION
Must maintain yearly CE hours within current TDSHS guidelines. Must exercise professional initiative to stay current with new drugs and treatment procedure guidelines. Must maintain ability to carry out standing orders within Medical Director's discretion.
LICENSES, CERTIFICATES AND RECERTIFICATION
* Possession of a valid Texas Driver’s License
* Possession of a Texas Department of State Health Services - Paramedic (EMT‑P) or Licensed Paramedic (LP). Possession of, or ability to obtain within six months, an American Heart Association - CPR Card, and Advanced Cardiac Life Support Certificate.
* Each individual must qualify and be recertified prior to the end of the certification period.
*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that required of the employee for this job. **Duties, responsibilities and actions may change at any time with or without notice.
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