Paramedic- Critical Care Transport

Job Description

Nemours is seeking a Paramedic to join our Nemours Children’s Health team in Wilmington, DE.

As a member of the NCHD transport team, duties include providing safe, efficient, and effective inter‑facility transport for a wide variety of ill and injured patients. The role requires advanced life support care to stabilize and transport patients, under the direct supervision of a registered nurse or via standing protocols under a physician’s direction, in conjunction with other providers such as Emergency Medical Technicians.

The position also involves staffing in the Emergency Communications and Information Center.

• Ensure a quick response to all transport requests.
• Practice within the designated scope of practice as defined by the Board of Medical Practice of the State of Delaware, NCHD, and the Office of Emergency Medical Services Paramedic Standing Orders.
• Provide developmentally appropriate care.
• Perform patient assessment and prioritize care based on assessment.
• Continuously re‑assess patient and perform advanced role skills according to standard protocols or on‑line physician direction.
• Distinguish between normal and abnormal findings and recognize clinical deterioration.
• Maintain proficiency with transport and patient care equipment including monitors, infusion pumps, external pacer, defibrillator, and transport ventilators.
• Administer and monitor medications as outlined by transport service policies and procedures within scope of practice.
• Follow all transport protocols as directed by medical control for transport services.
• Document patient care as specified by department and hospital guidelines.
• Promote family‑centered care in the transport environment.
• Maintain proficiency in advanced airway management and endotracheal intubation.
• Maintain proficiency in peripheral IV insertion and fluid administration.
• Maintain proficiency in C‑Spine restriction and splinting.
• Maintain proficiency in needle thoracentesis.
• Maintain proficiency in intraosseous needle placement.

• Obtain and evaluate pre‑transport patient information.
• Provide technical expertise with telephones and radios to ensure effective communication between transport team members and the referral facility.
• Maintain an open line of communication with the referring physician, and the NCHD physician as the patient’s condition warrants during transport.
• Communicate all pertinent patient information in both written and verbal form.
• Provide written and verbal report to receiving provider in an organized and timely manner.
• Complete patient transport documentation.
• Provide staffing in the Transport Communication Center as needed.

• Responsible for safe loading and unloading of patients and family and to ensure patient and equipment are safely secured during transport.
• Maintain current knowledge of locations and efficient travel routes to referring facilities.
• Maintain ambulance in clean and neat working order and ensure adequate inventories of supplies including patient care equipment, linen, vehicle fuel and fluids; complete all equipment and safety checks as soon as possible during shift.
• Provide prompt notification of deficiencies identified during safety checks.
• Anticipate patient needs and secure proper equipment and personnel.
• Promptly communicate safety and equipment concerns per policy.
• Maintain NCHD Transport Team safety standards.

• Supervise Emergency Medical Technicians during ground transports.
• Complete daily basic vehicle maintenance checklist and maintain responsibility for vehicle fleet.
• Maintain transport vehicle readiness, including cleanliness, equipment and supplies.
• Recognize recurring problems and participate in their resolution.
• Participate in the transport data collection.
• Assist in marketing and public relation events.
• Actively participate in patient review and performance improvement projects.
• Assist with appropriate clinical duties within institution.
• Assume self‑directed role during low periods of activity.
• Act as a resource and role model to other staff.
• Assume self‑directed approach to ensuring adequate paramedic staffing of all shifts.

• Speak…