Ambulance\n

Boone, IA Employment Status:

PRN\nJoin our EMS Team Today! Our mission is to improve and enhance the health and well-being of those we serve. We offer a team approach to healthcare and a competitive benefits package.\n

Status:

PRN, As Needed\n

Shift:

Days/Evenings/Nights\n

Shift Time Schedule:

Varies, As needed\n

Days:

Varies, As needed\nWe offer competitive pay and a great benefits package that includes:\n

Medical Insurance\n
Dental Insurance\n
Vision Insurance\n
Flexible Spending Accounts (FSA)\n
Health Savings Accounts (HSA)\n
Life insurance\n
Aflac\n
Short-term and long-term disability coverage\n
Wellness program and reimbursement\n
Free access to Boone County Hospital's onsite fitness room\n
Generous PTO Accrual Plan\n
Iowa Public Employees Retirement System (IPERS)\n
Employee Assistance Program (EAP)\n
Onsite Cafeteria\n

Salary Scale:

EMT:

$18.00

50\n

AEMT:

$20.00

84\n

Paramedic:

$24.90

47\n

RN Exception Paramedic and Paramedic Specialist CCP:

$26.04

25\n

POSITION SUMMARY:

\nProvides emergency medical care, both on-scene and during transport, to patients in the hospital's service area. These roles often involve direct patient care, utilizing basic life support (BLS) or advanced life support (ALS) skills, and working closely with hospital staff. The specific responsibilities can range from responding to 911 calls to assisting with patient transfers and providing specialized care within the hospital setting.

BCH POLICY STATEMENT

\nIt is the obligation of each employee of BCH to abide by and promote BCH's mission, values, Code of Conduct, Standards of Behavior, policies, procedures and related practices. This includes policies relating to Compliance, Infection Control and Safety.\n

HIPAA SECURITY COMPLIANCE

\nBoone County Hospital is committed to following all federal guidelines related to privacy and security. All employees will be held to the highest standard of confidentiality, and will be required to annually sign an employee confidentiality agreement that outlines the rules and expectation for every BCH employee. Failure to abide by these guidelines could lead to disciplinary action including termination.\n

Security Access:

High

Incumbent has access to restricted or confidential patient information and must comply with the terms of the BCH privacy & security policies as it applies to their job.

BEHAVIORAL REQUIREMENTS

\nBoone County Hospital has developed standards for behavior expectations of all employees. Please refer to the Boone County Hospital Standards of Behavior.\n

ESSENTIAL FUNCTIONS

Additional responsibilities may be assigned\n

Facility, Vehicle, & Equipment Maintenance:

\no Ensure staff office, sleep rooms, and garage(s) are clean and organized\no Perform routine equipment checks and vehicle inspections as assigned\no Maintain ambulance cleanness and organization\no Ensure adequate supply levels of medications, medical supplies, and equipment\no Report equipment malfunctions or safety concerns immediately\n

Emergency Response Patient Care, and Transport:

o Respond promptly to emergency medical calls and requests for medical assistance\no Assess patient's conditions quickly and accurately in emergency situations\no Provide appropriate emergency medical care based on training level and protocols\no Stabilize patients for safe transport to medical facilities\no Monitor patients continuously during transport and provide ongoing care\no Administer medications and perform medical procedures within scope of practice\no Operate emergency medical equipment within scope of practice and according to manufacturer's instructions\no Communicate effectively with patients and families during stressful situations\no Maintain patient safety, confidentiality, and dignity always\n

Communication & Documentation:

o Review all staff communication tools at least once every shift (e.g. email, communication boards, etc.)\no Respond to scheduling communications (e.g. availability, open shifts, etc.) as soon as possible\no Complete detailed, accurate, and timely patient care reports for all calls\no Communicate patient information clearly and accuratly to all heath-care team members\no Coordinate with dispatch, law enforcement, fire department, and other emergency personnel as needed\no Complete Payroll Book entries at the end of each shift\no Complete all hospital required documentation in an accurate and timely manor\n

Safety & Quality:

\no Follow all safety guidelines\no Participate in quality improvement activities and case reviews\n

Clinical and Non-Clinical Assistance:

o Provides clinical assistance, consistent with scope of practice, to other departments upon request\no Provides non-clinical assistance to organization upon request (e.g.

security rounds)\n

EMS Knowledge and Skills Maintenance:

\no Maintains EMS clinical knowledge via continuing education\no Maintains EMS skills competency commensurate with clinical protocols and certification level\n

Education and Community Outreach:

o Provides education and training for organization (e.g. AHA programs, etc.)\no Participates in public health initiatives, education, and community outreach activities and programs\n

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

Certification and Licensing\no Current State of Iowa certification as an EMT, AEMT, Paramedic, Paramedic-CCP, or RN Exempt\no Current Iowa \"Class C
Operator\" driver's license with a clean driving record\no Current AHA BLS certification\no Current

AHA ACLS

certification (for Paramedic, Paramedic-CCP, or RN Exempt)\no Current State of Iowa Mandatory Reporter training (child and dependent adult)\n

Education and Experience\no High school diploma or equivalent required\no Completion of state-approved EMS training program OR nursing program\no Previous EMS experience preferred but not required for entry-level positions\n
Work Experience\no Previous EMS experience preferred but not required for entry-level positions\n
Skills and Abilities\no Technical Skills\n§ Basic Office/Computer Knowledge
Using standard office computer equipment and programs\n§ Medical Knowledge
Understanding anatomy, physiology, and various medical conditions and procedures. § Teamwork
Collaborating effectively with other paramedics, EMTs, and healthcare professionals. § Communication
Communicating effectively with patients, families, and other healthcare professionals, both verbally and nonverbally. § Situational Awareness
Being aware of surroundings and potential hazards, and responding appropriately. § Situational Resiliency
Ability to work in various weather conditions and challenging environments\n§ Emergency Vehicle Operation
Operating emergency vehicles in a safe mannor and with due regard\n§ Patient Assessment
Quickly and accurately evaluating a patient's condition, including vital signs, injuries, and underlying medical problems. § Emergency Medical Care
Providing first aid, CPR, and advanced life support techniques like airway management, oxygen administration, and medication administration. § Equipment Operation
Using specialized medical equipment, such as defibrillators, ventilators, and IV equipment. § Transportation
Safely transporting patients to medical facilities, monitoring their condition during transport. § Documentation
Accurately and thoroughly recording patient assessments, treatments, and outcomes. o Soft Skills\n§ Empathy and Compassion
Demonstrating empathy and compassion for patients and their families. § Decision-Making
Making quick and accurate decisions under pressure § Problem-Solving
Identifying and solving problems effectively, even in stressful situations. § Leadership
Taking charge in emergency situations and leading the team. § Stress Management
Remaining calm and focused under pressure and in challenging situations. § Emotional Resilience
Coping with emotionally challenging and distressing situations\n§ Physical Stamina
Maintaining physical strength and endurance to handle the physical demands of the job. § Common Sense and Initiative
Exercising good judgment and taking initiative when necessary\n§ Interpersonal Skills
Building rapport with patients and their families and interacting professionally with other health-care and public safety professionals.
Annual Mandatory Education and Training\n

PHYSICAL ACTIVITY REQUIREMENTS

\nPhysical Demands\nThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.\nA. Activity Level\nPercent of Time\n

Sedentary Work:

\nExerting up to 10 lbs. of force occasionally and/or a negligible amount of force frequently.\n50%\n

Light Work:

\nExerting up to 20 lbs. of force occasionally and/or 10 lbs. of force frequently.\n25%\n

Medium Work:

\nExerting up to 20

50 lbs. of force occasionally and/or 10
25 lbs.

of force frequently.\n15%\n

Heavy Work:

\nExerting up to 50

100 lbs. of force occasionally and/or 20
50 lbs.

of force frequently.\n10%\n

Very Heavy Work:

\nExerting over 100 lbs. of force occasionally and/or 50

1 00 lbs.

of force frequently.\n0%\n

Total:

\n100%\nB. Functions and Activities\nKey\nC = Continuous\nF = Frequent\nO = Occasional\nN = Not Applicable\nMore than 5.5 hours (67-100%) > 500 reps/day\n2.5 to 5.5 hours (34-66%) 101-500 reps/day\nLess than 2.5 hours (1-33%) 1-100 reps/day\nNot at all or rarely\nActivity\nC\nF\nO\nN\nComments\nWaist to Floor Lift, 0-100 lbs.\nX\nWaist to floor lift of various equipment, materials, supplies and when responding to patients on calls ranging in weight from 0-100 lbs. up to approximately 18\".\nUnilateral Waist to Floor Lift, 0-25 lbs.\nX\nLifting of various equipment, materials, and supplies ranging in weight from 0-25 lbs. from approximately 14\" to waist.\nWaist to crown lift, 0-15 lbs.\nX\nLifting of various equipment, materials, and supplies ranging in weight from 0-15 lbs. up to approximately 63 inches.\nUnilateral Waist to Crown Lift\nX\nNot required.\nHorizontal Lift, 0-100 lbs.\nX\nLifting of various equipment, materials, supplies, and when working with patients ranging in weight from 0-100 lbs. at approximately 18\" height.\nCarry (Bilateral), 0-100 lbs.\nX\nCarrying of various equipment, materials, supplies and when moving patients on calls ranging in weight from 0-100 lbs. approximately 50 ft. May be required to carry while simultaneously ascending/descending stairs.\nCarry (Unilateral), 0-25 lbs.\nX\nCarrying of various equipment, materials, supplies, and when moving patients ranging in weight from 0-25 lbs. approximately 50 ft. May be required to carry while simultaneously ascending/descending stairs.\nHorizontal Push/Pull, 0-25 lbs. of force\nX\nGenerating 0-25 lbs. of horizontal push/pull force for various work related duties at approximately 38\".\nHorizontal Push/Pull, 26-100 lbs. of force\nX\nGenerating 26-100 lbs. of horizontal push/pull force for various work related duties at approximately 38\".\nVertical Push/Pull\nX\nNot required.\nReach At or Below Shoulder Level\nX\nReaching at or below shoulder level to complete various work related activities. Reaching occurring in all planes.\nReach Above Shoulder\nX\nReaching above shoulder level to complete various work related activities. Reaching occurring in all planes. Reaching up to approximately 63\".\nElevated Work\nX\nNot required.\nStooping\nX\nSustained forward flexion of the trunk to retrieve various equipment , materials, supplies, and to position oneself to perform various work related duties. Sustained trunk flexion for up to 60 seconds.\nBending\nX\nRepetitive forward flexion of the trunk up to 60 degrees required to retrieve various equipment, materials, supplies and to position oneself for work related duties.\nTwisting\nX\nRepetitive rotation of the trunk and neck to perform and position oneself for various work related duties.\nSquatting\nX\nRepetitive full flexion of the hips and knees required to retrieve various equipment, materials, supplies, and to position oneself for various work related activities.\nSustained Squat/Crouch\nX\nNot required.\nKneeling\nX\nFull or half-kneeling required to position oneself for various work related activities.\nCrawling\nX\nCrawling occasionally required depending on the location and circumstance of the call being responded to.\nClimbing Stairs\nX\nClimbing stairs required to enter/exit vehicle and when entering/exiting various locations during calls. Step height up to 19 inches.\nClimbing Ladders\nX\nNot required.\nWalking\nX\nAmbulating on both indoor surfaces and outdoor surfaces. Surfaces may be slippery and uneven depending on location and weather conditions during calls.\nStanding\nX\nStanding on both indoor surfaces and outdoor surfaces. Surfaces may be slippery and uneven depending on location and weather conditions during calls.\nSitting\nX\nMay be required to sit for prolonged periods when driving to/from calls.\nBalancing\nX\nAverage level balance required to complete various work related duties.\nFine Manipulation\nX\nAverage to above average coordination required to complete various work related duties.\nSimple Grasping 0-25 lbs. of force\nX\nGross hand grasping, with preferred hand of 0-25 lbs. of force to perform various work related duties.\nFirm Grasping 26-50 lbs. of force\nX\nGross hand grasping, with preferred hand of 26-50 lbs. of force to perform various work related duties.\n2-Point Pinch, up to 5 lbs. of force\nX\nPinching up to 5 lbs. of force with bilateral hands to complete various work related activities.\n3-Point Pinch, up to 5 lbs. of force\nX\nPinching up to 5 lbs. of force with bilateral hands complete various work related activities.\nLateral Pinch, up to 5 lbs. of force.\nX\nPinching up to 5 lbs. of force with bilateral hands to complete various work related activities.\nRepetitive Hand / Wrist Activities\nX\nRepetitive bilateral finger flexion/extension and wrist flexion/extension/radial deviation/ulnar deviation to complete various work related activities.\nRepetitive Keying / Mousing\nX\nTo perform various charting/documentation tasks.\nOperates Hand Controls\nX\nOperating controls on various medical equipment.\nOperates Foot Controls\nX\nNot required.\nDrives Car / Truck\nX\nDriving ambulance to/from calls.\nOperates Moving Equipment, Forklift/Skid Mover/Other\nX\nOperates gurneys when responding to calls (some gurneys have automated features to assist with ease of loading/unloading patients).\nC. Talking Required\n

Ordinary:

Yes\nLoudly or quickly: Yes\n

Comments:

\nD. Hearing Required\nOrdinary conversation: Yes\nAbility to hear alarms, radio/phone, and instructions from others: Yes\n

Comments:

\nE. Seeing Required\n

Close Vision:

Yes\n

Distance Vision:

Yes\n

Color Vision:

Yes\n

Peripheral Vision:

Yes\n

Depth Perception:

Yes\nAbility to

Adjust Focus:

Yes\n

Comments:

\nF. Elevated Work Required\n

Comments:

none\nG. Work in Confined Spaces Required\n

Comments:

none\n

ENVIRONMENTAL CONDITIONS

\nH. Environmental Factors\nExtreme Heat (non-weather): Yes\nExtreme Cold (non-weather): Yes\nOutdoor weather conditions: Yes\nWet and humid conditions: Yet\nQuiet Noise, Moderate Noise, & Excessive Noise (Potentially = 85 dB TWA): Yes\n

Vibration:

Yes\n

Hazards:

Yes\n

Comments:

\nI. Percent of Time Spent in the Performance of Job\n

Inside:

70%\n

Outside:

30%\nJ. Percent of Time Spent in Temperature Extremes in the Performance of Job\nVariable\n

Comments:

\nK. Atmospheric Conditions to Which Employee is Exposed on a Regular Basis\n

Fumes:

none\n

Gases:

none\n

Dusts:

none\n

Mists:

none\n

Poor Ventilation:

rare\n

Vibration:

occasionally\n

Odors:

occasionally\nOther (Specify in comments)\n

Comments:

\nPersonal Protective Equipment\nL. General\n

Hard Hat:

No\n

Eye Protection:

Yes\n

Hearing Protection:

Yes\n

Steel Toed Boots:

No\n

Chemical Resistant Clothing:

Yes\n

Gloves:

Yes\n

Other:

Various PPE according to hospital policy\nM. Respiratory Protection\n

Dust/Mist Mask:

No\n

Half-mask:

No\n

Full-face Mask:

No\nPowered Air Purifying (PAPR): Yes\n

SCBA:

No\n

Other:

Surgical Masks, N95 Masks\n

EQUIPMENT/TOOLS

Operate all equipment utilized by the Paramedic level person. Examples include, but are not limited to: Glucometer, B/P cuff, cardiac monitor, suction, doppler, medication administration, etc.\n
Operate a computer, electronic health record, Microsoft Office\n

WORKING CONDITIONS

\nTypical work involves working pre-hospital in multiple settings, from mild to extreme conditions.\nReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.\nVision must be correctable to view computer screens and read printed information. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision and ability to adjust focus.\nHearing must be in the normal range for telephone contacts and other conversations.\nThe above is intended to describe the general content of and requirements for this job. 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