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Emergency Room Paramedic $10k Signing Bonus
Vanderbilt Health
Nashville, Tennessee
The Paramedic in the Adult Emergency Department independently works off assessment skills to activate patient care protocols to deliver patient care within his/her full scope of practice as defined by the state of Tennessee and the ED’s scope of practice. Maintains compliance with regulatory and accreditation standards. Responsible for triage care in the pre-hospital environment. Responsible for effective communication to ensure safe and quality patient care in the paramedic team, transport and handover.
Vanderbilt’s paramedics play an integral role in our Emergency Room and Level 1 Trauma Center. We offer an opportunity to work in a teaching environment where continuous learning and professional development are encouraged every day. Our ER Paramedics are responsible for:
Trauma resuscitations
Critical-care-monitor transports of patients throughout the hospital
Administer medications
Participate in codes
Respond to emergency care calls on the hospital campus
Give and receive an SBAR bedside report, as a team, with RN when handing off care.
$10,000 SIGN ON BONUS (former employees must be separated from Vanderbilt University Medical Center for a period of more than 12 months to be eligible) and $5,000 relocation assistance available for eligible new hires .
Department/Unit Summary
The Adult Emergency Room is the Level 1 Trauma Center for Middle Tennessee with 88 treatment areas including four trauma bays. We are one of the busiest emergency rooms in the country and see 69,000 patients annually. We have the ability to quickly diagnose through our use of two CT scanners and an x-ray machine for the Adult ER. We are a Comprehensive Stroke Center, Accredited Chest Pain Center, and the Designated Level 1 Burn Center for the region.
Position Shift:
Our paramedics work three 12-hour shifts per week in the emergency room.
We currently have openings for Night shift (7P to 7A), which includes evening, night, and weekend layered shift differentials.
The weekend requirements are to work a Saturday and Sunday shift every other weekend.
Rotating Holiday Schedules.
View how Vanderbilt Health employees celebrate the difference they make every day:
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 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. It is a place 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.
Additional Key Elements/ Responsibilities:
Actively participates with other members of the healthcare team to provide direct patient care.
Effectively communicates patient handover to the health care team.
Utilizes the problem solving model to independent resolve patient problems and follow through with HCT to implement solutions.
Transports patients via various modes of transportation while providing quality ALS management to all ages.
Responds to emergency requests within Vanderbilt, Vanderbilt sponsored or other contracted events.
Maintains clinical competency per regulatory and accreditation compliance.
The responsibilities listed are a general overview of the position and additional duties may be assigned.
TECHNICAL CAPABILITIES:
AIRWAY ESTABLISHING (NOVICE):- Possesses sufficient fundamental proficiency to successfully demonstrate airway establishing in practical applications of moderate difficulty. Generally works under the direction of others while accomplishing assignments. Has retained equivalent knowledge from past experience.
CRITICAL THINKING – (INTERMEDIATE):- 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 (INTERMEDIATE):- Demonstrates mastery of ventilator management in practical applications of a difficult nature. Possesses sufficient knowledge, training, and experience to be capable of successfully delivering ventilator management services without requiring support and instruction from others. Able to train and educate by setting the example, giving technical instruction, providing leadership, and generally raising the level of performance of others while on the job.
ASSESSING, INTERVENING & STABILIZING PATIENTS (INTERMEDIATE):- 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 the example, giving technical instruction, providing leadership, and generally raising the level of performance of others while on the job.
MEDICATION MANAGEMENT (INTERMEDIATE):- 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 as a result of prescribed medication. Possesses sufficient knowledge, training, and experience to be capable of successfully conducting Medication Management without requiring support and instruction from others.
CORE ACCOUNTABILITIES:
Organizational Impact: Delivers job responsibilities that impact own job area/team with some guidance.
Problem Solving/ Complexity of work: Uses existing procedures, research and analysis to solve standard job related problems that may require some judgement.
Breadth of Knowledge: Requires subject matter knowledge within a professional area to meet job requirements.
Team Interaction: Individually contributes to project/ work teams.
CORE CAPABILITIES:
SUPPORTING COLLEAGUES (P1):
Develops Self and Others: Continuously improves own skills by identifying development opportunities.
Builds and Maintains Relationships: Seeks to understand colleagues’ priorities, working styles and develops relationships across areas.
Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner.
DELIVERING EXCELLENT SERVICES (P1):
Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service.
Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns to supervisors in a timely manner.
Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support.
ENSURING HIGH QUALITY (P1):
Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards.
Ensures Continuous Improvement: Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and beyond.
Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department.
MANAGING RESOURCES EFFECTIVELY (P1):
Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service.
Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources.
Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error.
FOSTERING INNOVATION (P1):
Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them.
Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action.
Adapts to Change: Embraces change by keeping an open mind to changing plans and incorporates change instructions into own area of work.
Required:
High School Diploma/GED
Current TN Paramedic license (EMTP) required
2 years of experience (preferred).li
BLS CPR , ACLS, PALS and PHTLS required.
Additional Qualification Information:
Additional job requirements include: 1. Medical crew members must be able to twist, bend and provide patient care in confined spaces. 2. Must be able to tolerate stressors of flight and transport, including, but not limited to, excessive motion, vibration, and extreme temperatures.
Physical Requirements/Strengths needed & Physical Demands:
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.
Movement
Occasional: Sitting: Remaining in seated position
Occasional: Carrying over 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles
Occasional: Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms.
Occasional: Kneeling: Bending legs at knees to come to rest on knee or knees.
Occasional: Crouching/Squatting: Bending body downward and forward by bending legs and spine. Reaching above shoulders: Extending arms in any direction above shoulders.
Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.
Frequent: Standing: Remaining on one’s feet without moving.
Frequent: Walking: Moving about on foot.li
Frequent: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
Frequent: 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
Frequent: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
Frequent: Push/Pull: Exerting force to move objects away from or toward.
Frequent: 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
Frequent: Reaching below shoulders: Extending arms in any direction below shoulders.
Frequent: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
Frequent: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.
Frequent: Bimanual Dexterity: Requiring the use of both hands.
Sensory
Frequent: Communication: Expressing or exchanging written/verbal/electronic information.
Continuous: Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information
Continuous: 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.
Continuous: Smell: Ability to detect and identify odors.
Continuous: Feeling: Ability to perceive size, shape, temperature, texture by touch with fingertips.
Environmental Conditions
Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.
Occasional: Climate: Ability to withstand exposure to atmospheric extremes including heat, cold, humidity, and barometric pressure changes.
Frequent: Pathogens: Risk of exposure to blood borne pathogens and other contagious illnesses.
Wake County EMS
Raleigh, NC
What You’ll Be Doing
Emergency Medical Technicians are the primary provider of prompt, compassionate, and clinically excellent emergency medical care to the sick and injured citizens of and visitors to Wake County. Technicians are responsible for operating emergency vehicles, biomedical equipment, and other equipment necessary for patient and situational assessment, treatment, and transport in an emergency setting. Technicians are required to effectively interact and communicate with individuals and groups of individuals from all education levels, cultural backgrounds, belief structures, and states of health. Technicians are also responsible for performing routine cleaning and basic maintenance of equipment, facilities, and vehicles. They will also participate in community outreach and public education opportunities. A successful candidate is someone with a high level of communication and problem-solving skills who either currently holds a North Carolina EMS certification or is eligible to receive a North Carolina EMS certification. This candidate is expected to understand scene management and be able to operate effectively within an Incident Command System. The successful candidate will also be able to demonstrate the ability to calmly and effectively work in high-stress and emotionally charged situations.
Key Responsibilities:
Understand and practice our mission statement of Prompt, Compassionate, and Clinically Excellent Care
Perform advanced life support skills utilizing liberal standing order protocols to guide patient care
Provide comfort and compassion to patients and family
Interview and assess patients to identify chief complaint(s) or issues, obtain relevant information from the patient, their family or caretaker (s), bystanders/citizens, or other sources, and identify alternative solutions if necessary
Lift and carry equipment, stretchers, and patients to facilitate response to and transport of patients
Safely and respectfully operate an emergency vehicle
Respond to requests for service whenever and wherever needed, including all times of day and all types of weather
Complete documentation through patient care reporting systems, electronic and paper-based logs, reporting software, and databases
Effectively and efficiently utilize technology such as in-vehicle navigation, laptop computers, biomedical equipment, computer-aided dispatch, online education portals, high-fidelity simulators, etc.
Maintain cleanliness of equipment, vehicles, and facilities
Decontaminate and disinfect equipment and vehicles as needed
Regularly inventory and restock equipment and vehicles
Effectively and respectfully communicate through written, oral and visual means with all individuals and groups of individuals
Effectively work while wearing a variety of different personal protective equipment, including turnout gear, chemical protective clothing, and respiratory protection
Effectively work as an individual and as a member of a team
Regularly attend and participate in training.
Participate in community outreach and public education events
Participate in various department-specific committees regarding decisions on protocols, equipment, vehicles, uniforms, etc.
Precept students from paramedic programs locally and nationwide on their clinical rotations
PLEASE NOTE: ***A criminal background and driving record check will be conducted, and a pre-employment drug test is required. ***
EMT Pay
$20.00-$32.00 per hour = $43,800-$70,080 per year
AEMT Pay
$22.50-$36.00 per hour = $49,275-$78,840 per year
Paramedic Pay
$28.13-$45.00 per hour = $61,594-$98,550 per year
About Our Team
Wake County EMS is responsible for the Wake County EMS System. This responsibility includes the provision of 911 EMS response, EMS system plan development and maintenance, education plan development and maintenance, system provider training and re-credential oversight, medical oversight and quality assurance, data collection and research, and oversight of non-emergency ambulance franchises. The system comprises 911 ambulance providers, emergency medical dispatchers, and fire first responders at the EMT credential level. Within Wake County are three hospital systems managing five hospital-based emergency departments: a Level 1 Trauma Center, a Level 3 Trauma center, a Pediatric Specialty ER, two Cardiac Specialty centers, three Stroke centers, and four free-standing centers ER’s. The system responded to over 127,000 requests for service in 2022 and has seen an average 5% growth rate in the last several years. All EMS units work off an 800 MHz radio system, automatic vehicle locator system, and closest unit response process. In addition to the regular 911 responses, the Wake County EMS System has well-developed mobile integrated health (community paramedic) and research programs. Franchised for-profit ambulance providers provide non-emergency ambulance services, and specialty care ambulance transport services are provided through hospital-affiliated ambulance providers. Wake County EMS is funded through the Wake County general fund.
Requirements
The Basics (Required Education and Experience)
North Carolina Emergency Medical Technician certification (Paramedic, AEMT, EMT) or eligibility for such certification
A valid driver’s license and a “safe” driving record required
How Will We Know You’re ‘The One’?
Ability to use effective approaches for choosing a course of action or developing appropriate solutions and reaching conclusions
Ability to act consistently with available facts, constraints, and anticipated consequences and to be proactive
Ability to develop relationships with patients, family, bystanders, and citizens by listening to and understanding identified medical needs and responding appropriately with clear, concise information.
Ability to actively participate as a member of a team to build, develop and maintain ongoing effective relationships with coworkers, fellow responders, physicians, nurses, and other healthcare workers to encourage and support communication and teamwork
Ability to deal with others in difficult and complex situations, using appropriate interpersonal skills and methods to reduce tension and resolve conflict
Ability to confer with others to explore alternatives and reach resolutions or an outcome acceptable to all parties
Ability to function in a physically demanding environment, requiring strength, flexibility, and endurance
Ability to maintain effectiveness when experiencing major changes in work tasks or work environment and adjust effectively to work within the new environment
Knowledge of Safety and Health Management policies and procedures
Ability to contribute to a culture of safety for everyone ensuring work processes are free from safety and health hazards
Ability to follow instructions, perform routine tasks and check work for accuracy
Ability to be relied upon to ensure that tasks are completed in a timely manner
Ability to monitor programs and activities and take corrective actions
Ability to maintain social, ethical, and organizational norms, firmly adhering to codes of conduct and ethical principles
Ability to understand the impact and implications of decisions on the community and other departments
Paramedic & EMT Openings Available
Charleston County EMS
Charleston, SC
Charleston County is an EMS system that relies on Innovation, Trust, Compassion, Respect and Dedication to provide exceptional customer service to our community. If you have the commitment to help others and want to have a career that makes a difference, now is your opportunity to join one of the finest EMS departments in the nation. Charleston County EMS offers a variety of work schedules that are both static and dynamic. In our normal schedules, forced overtime is not used; although in times of disasters or high public demand, schedules and obligations may change.
Charleston County offers a full complement of benefits including retirement, deferred compensation (including 401k and 457 plans), longevity pay increases after years 1, 3, 5 and 6, merit based increases annually thereafter (Council approved) based on evaluations, optional life and disability coverage, along with medical and dental benefits for employee and family.
EMT Providers will have an initial hiring range of $18.11 – $19.02 hourly
AEMT Providers will have an initial hiring range of $18.65 – $19.59 hourly
Paramedic Providers will have an initial hiring range of $24.29 – $26.97 hourly
APPLICATION PROCESS & DEADLINE: Submitted applications are reviewed by the hiring department, on an ongoing basis until the positions are filled.
Candidates who qualify will be contacted on a rolling basis for testing and interviews.
Duties and Responsibilities
Candidates must be able to: drive an emergency vehicle; have excellent communications skills (in person, over the radio/telephone, and written); work varying shift schedules including day shift, night shift, hybrid shifts including weekends and holidays; perform a wide variety of duties with accuracy and speed under pressure; provide patient care to the respective certification level; follow safety protocols and perform in a safe manner; able to understand navigation equipment and tools, including maps, and be able find locations within our response area; perform calmly in emergency situations; and other related duties as assigned.
Requirements
Required certifications and licensure:
Ability to possess and maintain a South Carolina Paramedic/AEMT/EMTB certification
South Carolina Emergency Medical Technician (By start date)
BLS (AHA or ASHI)
ICS course certifications 100, 200, 700 and 800 (Required within 3 months of hire)
Paramedic candidates also need:
ACLS (AHA or ASHI)
ITLS or PHTLS or TECC (preferred)
PEPP or PALS or EPC (preferred)
Candidates must also provide the following:
Copy of a High School Diploma or GED (College Degree or Transcript may be used)
Knowledge, Skills and Abilities
Knowledge must include but is not limited to: laws and regulations of US DOT, FCC, DEA and SCDHEC in regard to the practice of emergency medical services, vehicle extrication and rescue principles, patient stabilization, medical terminology, and defensive driving techniques. EMT’s are responsible for providing patient care to the level of their certification. All employees are responsible for communicating appropriately, ensuring the readiness of vehicles and equipment, maintaining uniforms and stations, attending training, and following safety and medical guidelines.
The motto of Charleston County EMS is “We Care”. The ability to provide excellent medical care with empathetic and compassionate customer service under pressure is an expectation of the department as well as our community of citizens and visitors.
The application should be filled out completely and all required certifications and documents should be uploaded/attached to the application. Any questions regarding the application or hiring process can be directed to EMSjobs@charlestoncounty.org or 843-202-6708.
