Paramedic-Critical Care Transport

Nemours is seeking a Paramedic (dayshift, 60 hrs every 2 wks) to join our Nemours Children s Health team in Wilmington, DE.

As a member of the NCHD transport team, duties are as follows and not limited to; provide safe, efficient, and effective inter-facility transport to a wide variety of ill and injured patients. Provide advanced life support care necessary to stabilize and transport patients. The provision of this care may occur under the direct supervision of a registered nurse or with standing protocols under a physician's direction in conjunction with other providers (i.e., Emergency Medical Technicians).

Provide staffing in the Emergency Communications and Information Center.

• High School Diploma or equivalent AND graduation from an accredited paramedic program (through a professional institute or a college/university) (Required)

• 1 year:
  At least 1 year of ALS experience in a pre-hospital (911) or inter-facility transport program (Required)
• 2 years:
  At least 2 years of related experience (Preferred)

• Must have excellent interpersonal and communication skills.
• Demonstrates clinical expertise, problem solving and independent decision making skills.
• Maintain skills and proficiency with the use of information technology.
• Must be able to hear and communicate with others in a clear, understandable and professional manner.
• Must possess a valid driver’s license and be able to operate an emergency vehicle during routine and priority response.

• Nationally Registered Emergency Medical Technician (NREMT-P) (Required)
• Basic Life Support for Healthcare Provider (BLS) (Required)
• Pediatric Advanced Life Support (PALS) (Required)
• AHA HP, ACLS (Required)
• Certifications from the State of Delaware (DE certifications prior to hire and orientation) Maryland, and Pennsylvania within first 120 Days of hire (Required)
• Specialty certification (PNCCT, CCEMTP) (Preferred)

• Ensure a quick response to all transport requests.
• Practices 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, but not limited to, 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…