EMT Paramedic

Exemption Status:

Schedule Details:

Scheduled Hours:

Shift:

Hours:

Cost Center:

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Hiring Range:

$17.98 - $32.36

I. Major Responsibilities:

1. Administers skilled medical care to individuals in response to calls for emergency treatment in accordance with the Massachusetts EMS Pre-Hospital Treatment protocols. Examines, assesses, and stabilizes patients at emergency scene, i.e., advanced cardiac life support, hemorrhage control, treatment for shock, immobilization of fractures, bandaging, proper treatment for burns, poisoning, or drug overdose, manages gynecological emergencies, delivers newborn, manages mentally disturbed patient, etc.
2. Obtains medical history. Checks vital signs. Advises/informs on-call physician of diagnostic indication. Performs definitive life support. Administers treatment and utilizes advanced life support equipment and procedures as directed by authorized physician, i.e., performs endotracheal intubation, defibrillation, synchronized cardioversion, nasogastric intubation, closed chest intraosseus fluids, etc. May perform external trans thoracic cardiac pacing, medication enhanced intubation including surgical cricothyroidotomy, and other advanced scope of practice procedures.
3. Responds to a wide range of emergency situations as required.
4. Provides control at the scene of medical emergency. Conducts triage, treatment and transportation at mass casualty incidents including incidents involving terrorism and weapons of mass destruction.
5. Documents pre-hospital care received by patients in order to facilitate admission to health care facility and for database purposes.
6. Prepares patients for transport. Consults with radio dispatcher as to appropriate available medical facility in order to ensure immediate treatment of patient upon arrival. Monitors patient in ambulance to maintain stability. Administers additional treatment when necessary.
7. Drives ambulance to and from scene of emergency. Inspects, clears, stocks and may make repairs (in emergency) to Emergency Medical Services vehicle and equipment to ensure and provide continuous availability of appropriately decontaminated units.
8. Maintains control of narcotics Class B and C. Maintain up-to-date records of inventory of both narcotic and non-narcotic medications stored in vehicle and supply source at hospital. Ensures emergency vehicle is properly stocked with necessary supplies, equipment and medications.
9. Reports suspected abuse following standard procedure.

Standard Staffing Level Responsibilities:

1. Complies with established departmental policies, procedures and objectives.
2. Attends variety of meetings, conferences, seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
6. Maintains, regular, reliable, and predictable attendance.
7. Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

II. Position Qualifications:

License/Certification/Education:
Required:
1. Certification as an Emergency Medical Technician - Paramedic by the Massachusetts Department of Public Health.
2. Certified in CPR - Basic Rescue by either the American Red Cross or the American Heart Association.
3. Certified in Advanced Cardiac Life Support by the American Heart Association.
4. Valid driver license.

Experience/Skills:
Required:
1. Experienced in accident scene management and control.
2. Demonstrated ability to work well under often stressful situations.
3. Strong organizational and interpersonal skills.
4. Effective oral and written communication skills.

Preferred:
1. Minimum three year's experience in an urban EMS service integrated with a municipal first response system.

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.

III. Physical Demands and Environmental Conditions:

Work is considered heavy. Position requires work outdoors in a patient care environment.

Additional Required and Preferred Education and Experience:
ADDENDUM FOR: Resuscitation and Airway Management Specialist (RAMS)
Position Summary:
Worcester EMS paramedics who have completed the clinical competencies for the DAI/RSI program will serve in the Pavilion (PAV) in capacities consistent with their level or training and scope of practice. All work performed in the hospital will be done under the clinical supervision of the Medical Directors and the attending physician.
Major Responsibilities:
* Establishing and maintaining peripheral IV access
* Administering medications and fluids within hospital defined scope
* Participating in "Overwatch" activities which involve meeting with other clinical staff to identify patients at elevated risk of clinical decompensation and monitoring these patients for any acute changes throughout the course of a shift. Any worsening or significant change to be communicated to the care team.
* Working in a collaborative fashion as part of the care team with physicians, APPs, PCAs, Unit Secretaries, Respiratory Therapists, and RN staff.
* Assist with procedures and patient care activities at the request of the clinical team.
* Assisting with transport of critical patients to and from areas of the hospital while monitoring for any acute changes.
* When summoned in case of critical decompensation or cardiac arrest, at the direction of the physician or APP, will be responsible for management of the patient's airway according to the Resuscitation and Airway Management Specialist (RAMS) training and scope. The airway procedures will include:
o Administration of medications for induction prior to paralysis to include Ketamine and Etomidate as well as to suggest adjunct medications such as fentanyl if indicated.
o Administration of neuromuscular blockade using either succinylcholine or rocuronium.
o Administration if needed of push dose vasopressors in the case of hemodynamic instability.
o Use of LMAs and other supraglottic airways.
o BVM ventilation.
o Use of PEEP valve during ventilation.
o Direct laryngoscopy.
o Video laryngoscopy.
o Orotracheal and nasotracheal intubation.
o Use of bougie to assist in intubation.
o Cricothyrotmy in Cannot intubate, cannot ventilate (CICO) situations.
o Placement of orogastric or nasograstric tube.

License/Certification/Education:
Required:
1. Worcester EMS paramedic who has completed the clinical competencies and remain current for the DAI/RSI program.
Preferred:
1. Pediatric Advanced Life Support (PALS) certification.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.