As a member of the transport team, 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.

Qualifications:
Minimum Education
High School Diploma or GED (Required)

Minimum Work Experience
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)

Required Skills/Knowledge
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.

Required Licenses and Certifications
Nationally Registered Paramedic (NRP) NREMT-P (Required)
Pediatric Advanced Life Support (PALS) (Required)
Basic Life Support for Healthcare Provider (BLS) (Required)
AHA HP , ACLS (Required)
Specialty certification in pediatric/neonatal critical care transport 2 Yrs (Required)
Certifications from the State of Maryland,
Virginia, The District of Columbia (DC and MD certifications prior to completion of orientation). 120 Days (Required)
Specialty certification (PNCCT , CCEMTP) (Preferred)

Functional Accountabilities
Clinical

• Ensure a quick response to all transport requests.

• 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.

Communication

• 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, ECIC and the CNMC 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 Emergency Communications and Information Center.

Safety

• 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 CNMC Transport Team safety standards.

Management

• Supervise Emergency Medical Technicians during ground transports.

• Complete daily basic vehicle maintenance checklist and maintain responsibility for vehicle fleet.

• Maintain transport vehicle readiness, include 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.

• Work collaboratively with EMS customers to care for and facilitate return of pre-hospital equipment (ie backboards)

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Organizational Accountabilities
Professional Development

• Maintain a positive public image of the transport program through contact with community facilities.

• Assist in orientation of new employees.

• Attend all required staff meetings and educational activities.

• Serve as a contributing member of transport/hospital committees.

• Independently maintain required certifications.

Organizational Commitment/Identification

• Partner in the mission and upholds the core principles of the organization

• Committed to diversity and recognizes value of cultural ethnic differences

• Demonstrate personal and professional integrity

• Maintain confidentiality at all times

Customer Service

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others' ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently

• Search for less costly ways of doing things