Paramedic **INTERNAL ONLY

Provides paramedic-level emergency medical care to patients at the scene, in transport, and at the hospital. Transports patients from the scene to the hospital or from one facility to another facility. Directs the work of Emergency Medical Technician (EMT) and Advanced Emergency Medical Technician (AEMT) while on duty.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Provides health care services to individuals eligible for services in accordance with the self-governance compact and funding agreement between the Cherokee Nation and the United States executed under the authority of the Indian Self-Determination and Education Assistance Act.
• Assures all patients receive medical care to the paramedic level according to the Cherokee Nation Ambulance Service Protocols.
• Operates and monitors specialized equipment such as mechanical cardiopulmonary resuscitators, EKG monitors, cardiac defibrillators, laryngoscopes, oropharyngeal suction equipment, oxygen delivery devices, and IV infusion pumps per paramedic protocols and medical control.
• Obtains a history on each patient's past and present medical problems, medications and allergies.
• Administers therapeutic measures as prescribed per protocol or medical control such as initiation of IV fluids, wound irrigation, nasogastric intubation, cardiac monitoring, defibrillation, tracheal intubation, and thoracentesis.
• Provides direction and supervision pertaining to patient care, scene management and maintenance to EMT students of all levels while students are on duty including at the scene, in transport, and at the medical facility.
• Maintains supplies and equipment on ambulance and assures units are clean and safe.
• Takes charge on scene and oversees all aspects of patient care.
• Complies with the applicable state, tribal and federal regulations in regard to the security, safety and confidentiality of any health services record they create, maintain, transfer, or destroy, whether the record is written, taped, computerized, or stored in any other medium.
• Performs other duties, tasks, and services consistent with this position as assigned.

LEVEL OF RESPONSIBILITY

• This position does not directly supervise any individuals.
• Performs complex tasks typically following established processes.
• Comprehensive knowledge of the field’s concepts and principles.

QUALIFICATIONS

• Associate’s degree as Paramedic or an equivalent combination of education and experience in lieu of degree.

COMPETENCIES

• Problem-solving & situational analysis
• Ability to build strong working relationships
• Strong verbal and written communication
• Excellent customer service skills
• Ability to hold strict confidentiality
• Knowledge of HIPAA laws and regulations
• Intermediate computer skills
• Ability to remain calm in stressful situations

PHYSICAL REQUIREMENTS
While performing the duties of this job, the employee is frequently required to walk, reach with hands and arms, and talk or hear. The employee is occasionally required to stand; sit; use hands to finger, handle, or feel objects, tools, or controls; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move more than 100 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

CERTIFICATES, LICENSES, REGISTRATIONS

• Must possess a valid driver's license with a driving history verified through a motor vehicle report that meets requirements for Cherokee Nation underwriting rating.
• Must possess and maintain a Paramedic License issued by the Oklahoma State Department of Health.
• Possess or obtain certification in Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Advanced Life Support (ALS) from the American Heart Association or American Red Cross and maintain throughout employment.

OTHER REQUIREMENTS

• The employee must not be and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG's Cumulative Sanction Report, or the GSA's List of Excluded Providers, or listed on the OIG's List of Excluded Individuals/Entities (LEIE).
• Must meet and maintain pre-employment and periodic background investigation and adjudication for childcare.
• Must keep all knowledge and skills current through specific continued education as required by Oklahoma State Department of Health/EMS Division for renewing licensure.
• Must be able to operate all emergency medical equipment.