Paramedic-Emergency Medical Services
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Description
DUTIES:
* Maintain all duties inclusive of the rank of EMT.
* Comply with all OEMS regulations, the Department and BPHC policies, practices, and procedures.
* Provides advanced medical care to sick and injured patients, conducts medical and trauma assessments on adult and pediatric patients, confers with online/offline medical direction as appropriate, establishes vascular access, administers medication.
* Subject to the approval of the EMS Medical Director, perform advanced procedures, such as inserting advanced airways, interpreting and treating cardiac arrhythmias, performing manual defibrillation, transcutaneous pacing, needle decompression, document relative information assessments, clinical findings, impressions, treatments and response to treatment as appropriate.
* Respond to a wide range of emergency situations as required. Control scene of medical emergency; conduct triage, treatment and transportation at mass casualty incidents. prepare patients for transport; consults with CMED operator as to appropriate available medical facility to ensure immediate treatment of patient upon arrival, e.g., trauma center. Monitor patients in ambulance to maintain patients' stability, administer additional treatment when necessary, drive ambulances and other emergency vehicles as needed to and from scene of emergency.
* Adapt to and maintain proficiency of new technology, documentation and reporting requirements, per department policy.
* Provide on scene clinical supervision, direction and guidance.
* In accordance with department protocols train on and employ clinical advancements and pharmacological enhancements.
* Promote health equity, inclusion and diversity within the department and community.
* Incorporate and operationalize mobile integrated healthcare (MIH) and MIH emergency department avoidance advancements in the provision of care and care coordination, including but not limited to treatment in place, clinical consultations, and alternative destination transport.
* Working to help BPHC advance as an antiracist organization by meeting or exceeding the standards set by the BPHC Anti-Racism Policy.
MINIMUM QUALIFICATIONS:
Minimum of 1 year of full-time service as a non-probationary Emergency Medical Technician at Boston EMS.
* Current certification as an Emergency Medical Technician- Paramedic by the Mass. DPH, and currently certified as a CPR healthcare provider by the American Heart Association (M.G.L., Ch 111C, Section 3 and 6). Current certification in Advanced Cardiac Life Support by AHA.
* A valid driver's license.
* Knowledge of pharmacology; of drugs used in advanced life support and possible reaction; of federal and state drug laws; of pathophysiology; of advanced human anatomy and physiology; basic human anatomy and physiology; of basic medical terminology; knowledge of medical telemetry; of Advanced Life Support equipment; of MGL, Ch 89, 90, and 111C; of Mass. DPH Re-Certification requirements; of Regional Communication Protocols; of the major transportation routes in the locality; of defensive and emergency driving procedures; of emergency medical service vehicle limitations; of local emergency medical service Point-of-Entry procedures.
* Ability to operate under Medical Control; to follow instructions from an authorized Physician; to conduct triage; to evaluate the mechanism of injury; to obtain, read and interpret an electrocardiogram; to monitor a patient's status; to perform Basic Life Support; to extricate patients in a safe and accepted manner; to safely lift and carry a normal adult with all required emergency medical service equipment with the aid of another Emergency Medical Technician; to recognize and react to hazards at an emergency scene; to operate emergency medical service vehicles in a safe and accepted manner; to inspect ambulances and other emergency medical service vehicles; to inspect a vehicle's medical equipment; to operate assigned emergency medical service radio/communication system; to ensure that all certifications are kept current; to work effectively with other public safety personnel; to communicate effectively in English, both orally and in writing.
* Commitment to health equity and racial/social justice issues.
* Knowledge of or willingness to learn about the role of public health in addressing racism, the social determinants of health, and inequities in health outcomes as well as strategies to advance racial justice and health equity.
* Maintain all duties inclusive of the rank of EMT.
* Comply with all OEMS regulations, the Department and BPHC policies, practices, and procedures.
* Provides advanced medical care to sick and injured patients, conducts medical and trauma assessments on adult and pediatric patients, confers with online/offline medical direction as appropriate, establishes vascular access, administers medication.
* Subject to the approval of the EMS Medical Director, perform advanced procedures, such as inserting advanced airways, interpreting and treating cardiac arrhythmias, performing manual defibrillation, transcutaneous pacing, needle decompression, document relative information assessments, clinical findings, impressions, treatments and response to treatment as appropriate.
* Respond to a wide range of emergency situations as required. Control scene of medical emergency; conduct triage, treatment and transportation at mass casualty incidents. prepare patients for transport; consults with CMED operator as to appropriate available medical facility to ensure immediate treatment of patient upon arrival, e.g., trauma center. Monitor patients in ambulance to maintain patients' stability, administer additional treatment when necessary, drive ambulances and other emergency vehicles as needed to and from scene of emergency.
* Adapt to and maintain proficiency of new technology, documentation and reporting requirements, per department policy.
* Provide on scene clinical supervision, direction and guidance.
* In accordance with department protocols train on and employ clinical advancements and pharmacological enhancements.
* Promote health equity, inclusion and diversity within the department and community.
* Incorporate and operationalize mobile integrated healthcare (MIH) and MIH emergency department avoidance advancements in the provision of care and care coordination, including but not limited to treatment in place, clinical consultations, and alternative destination transport.
* Working to help BPHC advance as an antiracist organization by meeting or exceeding the standards set by the BPHC Anti-Racism Policy.
MINIMUM QUALIFICATIONS:
Minimum of 1 year of full-time service as a non-probationary Emergency Medical Technician at Boston EMS.
* Current certification as an Emergency Medical Technician- Paramedic by the Mass. DPH, and currently certified as a CPR healthcare provider by the American Heart Association (M.G.L., Ch 111C, Section 3 and 6). Current certification in Advanced Cardiac Life Support by AHA.
* A valid driver's license.
* Knowledge of pharmacology; of drugs used in advanced life support and possible reaction; of federal and state drug laws; of pathophysiology; of advanced human anatomy and physiology; basic human anatomy and physiology; of basic medical terminology; knowledge of medical telemetry; of Advanced Life Support equipment; of MGL, Ch 89, 90, and 111C; of Mass. DPH Re-Certification requirements; of Regional Communication Protocols; of the major transportation routes in the locality; of defensive and emergency driving procedures; of emergency medical service vehicle limitations; of local emergency medical service Point-of-Entry procedures.
* Ability to operate under Medical Control; to follow instructions from an authorized Physician; to conduct triage; to evaluate the mechanism of injury; to obtain, read and interpret an electrocardiogram; to monitor a patient's status; to perform Basic Life Support; to extricate patients in a safe and accepted manner; to safely lift and carry a normal adult with all required emergency medical service equipment with the aid of another Emergency Medical Technician; to recognize and react to hazards at an emergency scene; to operate emergency medical service vehicles in a safe and accepted manner; to inspect ambulances and other emergency medical service vehicles; to inspect a vehicle's medical equipment; to operate assigned emergency medical service radio/communication system; to ensure that all certifications are kept current; to work effectively with other public safety personnel; to communicate effectively in English, both orally and in writing.
* Commitment to health equity and racial/social justice issues.
* Knowledge of or willingness to learn about the role of public health in addressing racism, the social determinants of health, and inequities in health outcomes as well as strategies to advance racial justice and health equity.