Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.

U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.

Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet(r) organization
• Nurses from each hospital are consistently recognizedeach year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance!

Paramedic II - Duke University Health System - Duke Life Flight

Duke University Health System seeks to hire a Paramedic II who will embrace our mission of Transforming Lives Transforming Care.

Duke University Health System's Life Flight team supports over 20 critical care procedures independently. The patient population is 22-23 week gestation neonates to geriatric (all ages). In this department you work with interdisciplinary teams including, Basic Life Support EMT's, single provider ALS Paramedic, Clinical Nurses, Respiratory Therapist (Neo/Peds team) and Critical Care Paramedics.

Job Summary:
The Paramedic will perform a variety of activities associated with the Life Flight Critical Care Transport service to include operation of the Life Flight Ground Critical Care Transport ambulance and medical support systems, and assist with operations of associated satellite base and ongoing continuing education outreach program. The Paramedic will provide direct patient care within their scope of practice for ALS I, ALS II, or BLS patient care transports.

Work Hours & Shifts:
Full Time: Rotating shifts 7am-7pm and 7pm-7am
Location: Rotating Henderson to Durham Bases

Duties and Responsibilities of Paramedic II (Critical Care Paramedic)

*Obtain pertinent history and perform a physical examination based on comprehensive knowledge, advanced skills and sound professional judgement. Obtain historical data from an environmental survey, attending medical personnel, patient or significant other, and existing documentation.
*Complete a systematic, rapid primary assessment and a prioritized secondary survey. Analyze and assess available diagnostic data. Revise plan of care as new information becomes available.
*Provide care in a critical care environment utilizing appropriate, timely interventions, per program protocols, in a priority sequence within scope of practice not to exceed standards set by the North Carolina office of EMS (NCOEMS) and local medical direction.
*Utilize Advanced Skills prioritizing the patients needs based on potential or actual needs. (I.e. intubation, Rapid Sequence Intubation, needle decompression of tension pneumothoraces, percutaneous cricothryoidotomy, placement of intraosseous and central line).
*Demonstrates proficient use of advanced and basic life support equipment and maintains contact with Medical Control when necessary for protocol deviation.
*Communicate essential information to all appropriate members of the healthcare team. Evaluate patient progress, analyze data, and modify the planning and implementation of care based on patient response throughout the transfer process.
*Communicate between referring and receiving healthcare professionals to ensure continuity of care. Act as a liaison between patients, families, referring healthcare professionals and DUHS staff.
*Plan, organize and maintain equipment and supplies for use before, during and after transport. Perform inventory of transport vehicle every shift with restocking after each transport. Plan for special equipment needs for each transport. (I.e. external pacemaker, intravenous infusion pumps, intra-aortic balloon pump, isolette, baby pod). Maintain equipment repair as needed.
*Provide and maintain a safe environment for fellow crewmembers, the patients, assisting agencies, and ancillary personnel.
*Maintain certifications and advanced skills.
*Complete vehicle inspection and documentation each shift and complete a road test of assigned ambulance(s). Responsible for minor repairs to the unit to include but not limited to: changing light bulbs, replenishing fluids, tightening nuts and bolts, inspecting tires, etc. Responsible for daily maintenance including fueling and cleaning of vehicle. Responsible for reporting minor and major repair needs to the site specific Fleet Safety Coordinator, Clinical Team Lead, and/or Program Manager.
*Responsible for assisting with patient care as requested to include loading and unloading, operation of commonly used equipment and providing family members information/directions to Duke.
*Responsible for providing direct patient care on ALS I, ALS II or BLS transports, not to exceed beyond the scope of The Paramedic as defined by the NCOEMS and approved by local medical direction, and documenting in the electronic medical record.
*Responsible for replenishing oxygen and medical supplies used during transport.
*Demonstrates safe driving skills and ability to use technology to complete mission safely.
*Assist with continuing education outreach programs and public relations events as assigned.
*Provide staffing coverage to all bases as needed. Assist units within Duke University Hospital when necessary.

ADVANCED SKILLS:

*Intubations (nasal, endotracheal), RSI, and needle decompression of tension pneumothoraces, percutaneous cricothyroidotomy, central line placement (EJ), and intraosseous line placement.
*Mandatory attendance in Surgical Skills Lab, Skills Blitz and Safety Day. When identified to maintain competencies, participation in patient care in clinical areas to include the Operating Room, ICUs, Labor and Delivery and Emergency Department to maintain advanced skills.
*Identify, develop, implement and evaluate clinical and operational protocols, policies and procedures. Participation in Performance Improvement. Mandatory review (75% attendance per year required) of clinical cases, policies, protocols and procedures in Monthly Peer Review with Medical Director.
*Develop, implement and evaluate educational offerings related to Life Flight for internal and external groups.
*Develop, implement and evaluate research studies. Collect, compile and evaluate clinical and demographic data. Complete required transport paperwork. Participate in multi-institutional research studies. Formulate research studies as needed.

Education:
*Successful completion of a United States Department of Transportation (USDOT) centered or similar approved Paramedic Course.
*Minimum of three years (4 years preferred) current ALS experience as a Paramedic in emergency setting with a moderate to high call volume 911 agency (20,000 to 35,000 calls/year) Obtain FP-C within 2 years of hire.

*If previous Critical Care Transport experience, FP-C required upon hire.

Degrees, Licensure, and/or Certification:
*Current certification as a North Carolina Paramedic or have the ability to obtain certification in the State of North Carolina.
*NC Emergency Vehicle Driver certification or comparable.
*ACLS, PALS, ITLS (or PHTLS) and BLS required upon hire. (NRP within 6 months of hire).
*Current Class C drivers license. Current three (3) year driving history absent of violations.

Knowledge Skills and abilities:
*Operating knowledge of ambulance/ fire truck or vehicle equivalent to the Duke Life Flight ambulances.
*Demonstrated excellent communication and interpersonal skills.
*Ability to successfully complete post offer job testing for physical fitness. Vision must be 20/40 corrected
*One current trauma course prior to hire: PHTLS, TPATC, BTLS or ITLS.
*The following to be completed within 1 year of hire - PHTLS certification (until TPATC Certification obtained)
*TPATC Certification within 24 months of hire. TPATC will have a 6 month grace period for renewal from expiration date.
*The following to be completed within 2 years of hire date if Paramedic is new to SCT transport: specialty certification, i.e., FP-C, or CCEMTP.

Knowledge, Skills, and Abilities
*Operating knowledge of ambulance/ fire truck or vehicle equivalent to the Duke Life Flight ambulances.
*Demonstrated excellent communication and interpersonal skills.
*Ability to successfully complete post offer job testing for physical fitness. Vision must be 20/40 corrected
*Physically fit to allow for functional movement in an aircraft or ambulance and the ability to wear the Duke approved helmet.
*Max weight 235 pounds- air crew. Max height 6'4"-air crew-See Weight Standards policy

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas--an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.