Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and where your diversity of culture, thinking, learning, and leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.

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DEPARTMENT SUMMARY

As a Critical Care Paramedic on our LifeFlight Critical Care team, you will be part of a dedicated team providing advanced care to critically ill patients. Our team is comprised of an EMT/AEMT, Critical Care Paramedic, and a Critical Care Nurse. Our fully functional critical care ground ambulance is equipped with essential tools for advanced care, including blood products, full monitoring with invasive hemodynamic values, specialized equipment such as Hamilton T1 ventilator, ISAT, Medtronic pacemaker, High flow Nasal Cannula, 8-channel IV pump, a vast number of medications, and knowledge to operate VAD, Impella, IABP (Intra-Aortic Balloon Pump), and ECMO (Extracorporeal Membrane Oxygenation).

Provides advanced pre-hospital and inter-facility patient care from initial contact until care is relinquished to the accepting medical facility. Maintains thorough patient care documentation of assessment and intervention throughout the entire transport and will practice within the scope of practice as defined by the state of Tennessee and programs protocols. Demonstrates proficient clinical knowledge and competency of psychomotor skills during transport and will maintain through actively participating in ongoing advanced skills laboratories and hand-on clinical exercises. Acts as a clinical role model and resource to resolve complex situations and patient care issues. Participates in improvement activities and problem-solving projects as assigned by the leadership team. Communicates safety concerns to leadership team, educational needs of customers and service area and deliver stellar customer service to both internal and external customers.

POSITION QUALIFICATIONS

Required

• TN Critical Care Paramedic License (CCP)
• KY Critical Care Paramedic License (or in process)
• NREMT
• ACLS, BLS, PALS, NRP (Neonatal Resuscitation Program) (can be obtained during orientation)
• Emergency Vehicle Operations Course (EVOC) and VFK training is required (can be obtained during orientation)
• PHTLS (required within first year of employment)
• Valid Driver's License from state of residence
• NIMS IS-100, IS-200, IS-700, IS-800
• Three years of relevant experience

Preferred

• Previous Critical Care Transport Experience
• Advanced certification (CCP-C preferred)

Position - Shift
Sign on and relocation bonus eligible for new hires.

Full-Time Night Shift

Three (3) 12-hour shifts per week

Job Description

KEY RESPONSIBILITIES

• Collaborates with the critical care nurse partner in establishing the plan of care, coordinates and implements care delivery while following LifeFlight protocols.
• Analyzes comprehensive medical history information about the patient's care and management to determine care goals along with transport time and additional extenuating factors.
• Continually reassesses the needs of the patient towards goals and applies appropriate interventions to ensure effective outcomes.
• Employs strategies to promote health and a safe and healthy environment.
• Effectively uses medical control when appropriate.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES

• Medication Management (Advanced): Demonstrates mastery of Medication Management in practical applications of a difficult nature. Conducted individual or group interventions to improve the ability of an individual to self-administer medications as prescribed, offering improvement in insight, education regarding side effects, effects of medication and level of symptoms. Conducted systematic and regular assessment of actual or potential side effects experienced by a person because of prescribed medication. Possesses sufficient knowledge, training, and experience to be capable of successfully conducting Medication Management without requiring support and instruction from others.
• Assessing, Intervening & Stabilizing Patients (Advanced): Demonstrates mastery of assessing, intervening and stabilizing patients in practical applications of a difficult nature. Possesses sufficient knowledge, training, and experience to be capable of successfully assessing, intervening, and stabilizing patients without requiring support and instruction from others. Able to train and educate by setting an example, giving technical instruction, providing leadership, and raising the level of performance of others while on the job.
• Airway Establishing (Intermediate): Demonstrates mastery of airway establishing in practical applications of a difficult nature. Possesses sufficient knowledge, training, and experience to successfully deliver airway-established services without requiring support and instruction from others. Able to train and educate by setting an example, giving technical instruction, providing leadership, and generally raising the level of performance of others while on the job.
• Critical Thinking Advanced): Clearly and quickly demonstrates the recognition of assumptions and concepts. Shows a solid empirical grounding and a sound reasoning leading to conclusions, implications, and consequences. Able to accept and understand objections from alternative viewpoints. Responsive to variable subject matter, issues, and purposes.
• Ventilator Management (Advanced): Demonstrates mastery of ventilator management in practical applications of a difficult nature. Possesses sufficient knowledge, training, and experience to successfully deliver ventilator management services without requiring support and instruction from others. Able to train and educate by setting an example, giving technical instruction, providing leadership, and raising the level of performance of others while on the job.
• Able to utilize technology to facilitate use of additional resources, EMR (Electronic Medical Record), radiological studies, pharmacy resources, best practice resources, GPS, protocols, and inventory.
• Maintains clinical proficiency and competency per regulatory and accreditation compliance.
• Participates in (self and program) improvement activities and problem-solving projects.
• Reviews current research and participates in applying findings for evidence-based practice.
• Competent in documentation that accurately reflects care provided and meets LifeFlight documentation standards.
• Competent in collaborative communication to facilitate quality patient care and ensure safe hand off when care is relinquished at the accepting facility.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

Our Philosophy

We believe highly skilled and specialized care is essential to Vanderbilt University Medical Center's mission of quality in patient care, education, and research. As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered:

• Affordable High Quality Health Plan Options
• Dental and /or vision plan
• 403 (b) retirement plan
• Paid Time off (flex PTO)
• Tuition Reimbursement and adoption assistance (maximums applied)
• Short-Long term disability

Learn more about VUMC

• Hiring Process: Hiring Process | Work for Vanderbilt Health (vumc.org)
• Benefits: Benefit Offerings | Work for Vanderbilt Health (vumc.org)
• Diversity: Diversity | Work for Vanderbilt Health (vumc.org)
• Shared Governance: Welcome | Shared Governance (vumc.org)
• Living in Nashville: Living in Nashville | Department of Otolaryngology - Head & Neck Surgery (vumc.org)

Additional Job Description

PHYSICAL REQUIREMENTS
"Heavy Work" category requiring exertion of 50 to 100 lbs. of force occasionally and/or up to 20 to 50 lbs. of force frequently and/or up to 10 to 20 lbs. of force continually to move objects.


PHYSICAL DEMANDS:

Feeling: Ability to perceive size, shape, temperature, texture by touch with fingertips. Smell: Ability to detect and identify odors. Vision: Clarity of near vision at 20 inches or less and far vision at 20 feet or more with depth perception, peripheral vision, color vision. Auditory: Perceiving the variances of sounds, tones, and pitches and able to focus on single source of auditory information. Communication: Expressing or exchanging written/verbal/electronic information. Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation. Handling: Seizing, holding, grasping, turning, or otherwise working with hand or hands. Reaching above shoulders: Extending arms in any direction above shoulders. Reaching below shoulders: Extending arms in any direction below shoulders. Kneeling: Bending legs at knees to come to rest on knee or knees. Crouching/Squatting: Bending body downward and forward by bending legs and spine. Reaching above shoulders: Extending arms in any direction above shoulders. Crawling: Moving about on hands and knees or hands and feet. Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching, or maneuvering self, patient, and equipment simultaneously while working in large and small spaces. Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms. Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles. Push/Pull: Exerting force to move objects away from or toward. Carrying over 35 lbs.: Transporting an object holding in hands, arms, or shoulders, with help of coworkers or assistive device. Lifting over 35 lbs.: Raising and lowering objects from one level to another, includes upward pulling over 35 lbs., with help of coworkers or assistive device. Carrying under 35 lbs.: Transporting an object holding in hands, arms, or shoulders, with help of coworkers or assistive device. Lifting under 35 lbs.: Raising and lowering objects under 35 lbs. from one level to another. Standing: Remaining on one's feet without moving. Walking: Moving about on foot. Sitting: Remaining in seated position. Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area. Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses. Climate: Ability to withstand exposure to atmospheric extremes including heat, cold, humidity, and barometric pressure changes. Bimanual Dexterity: Requiring the use of both hands.

Allied health is among the fastest growing occupations in healthcare today. This area can be defined as credentialed professionals who perform supportive, diagnostic, and therapeutic health care services to promote health and prevent disease in a variety of settings.

These areas are crucial to Vanderbilt Health's reputation for excellence in these areas that has made us a major center for patient referrals from throughout the Mid-South.

Each year, people throughout Tennessee and the southeast choose Vanderbilt Health for their health care because of our leadership in medical science and our dedication to treating patients with dignity and compassion.

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Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and to the principles of equal opportunity and affirmative action. EOE/AA/Women/Minority/Vets/Disabled