Paramedic Advanced Care

Position: Paramedic (8A-8P) - Advanced Care at Home

MIH Paramedic – full‑time (8:00 a.m.–8:00 p.m.) in Orlando, FL.

Nemours Children’s Health is launching the nation’s first pediatric Mobile Integrated Health (MIH) program as part of our Advanced Care at Home (ACaH) initiative. We are hiring a paramedic to join this transformative model of care that provides advanced care in the home to patients and their caregivers.

Required Skills/Knowledge

• Excellent interpersonal and communication skills.
• Clinical expertise, problem‑solving and independent decision‑making skills.
• Proficiency with information technology.
• Clear, understandable professional communication.
• Valid driver’s license and a safe, reliable vehicle capable of transporting equipment and supplies.

Responsibilities

Clinical

• Practice within the designated scope of practice.
• Perform patient assessment and prioritize care based on assessment.
• Conduct home safety assessment.
• Facilitate telehealth videos with ACaH providers and RNs when needed.
• Assist with in‑home set‑up of equipment, devices, and technology as directed by ACaH providers and RNs.
• Implement individualized patient care plans as directed by ACaH providers and RNs.
• Continuously reassess patient and perform advanced role skills according to standard protocols or online physician/provider direction.
• Distinguish between normal and abnormal findings and recognize clinical deterioration.
• Administer and monitor medications per ACaH policies and procedures within scope of practice.
• Document patient care as specified by department and hospital guidelines.
• Promote family‑centered care.
• Maintain proficiency in airway management.
• Maintain proficiency in peripheral IV insertion and fluid administration.
• Maintain proficiency in C‑Spine restriction and splinting.
• Maintain proficiency in needle thoracentesis.
• Maintain proficiency in intraosseous needle placement.
• Coordinate and manage supplies and equipment in collaboration with a multidisciplinary team.
• Participate in and support research studies, evidence‑based practice projects, and quality improvement initiatives.

Communication

• Maintain an open line of communication with the ACaH team throughout the patient encounter.
• Communicate all pertinent patient information in written and verbal form.
• Provide written and verbal report to receiving provider in an organized and timely manner.
• Complete visit documentation.

Safety

• Maintain vehicle in clean and neat working order and ensure adequate inventories of supplies; complete all equipment and safety checks during shift.
• Provide prompt notification of deficiencies identified during safety checks.
• Anticipate patient needs and secure proper equipment and personnel.
• Promptly communicate safety and equipment concerns per policy.

Management

• Maintain transport vehicle readiness, including cleanliness, equipment and supplies.
• Recognize recurring problems and participate in their resolution.
• Participate in ACaH data collection.
• Actively participate in patient review and performance improvement projects.
• Additional miscellaneous duties and responsibilities may be assigned by the supervisor.

Position Requirements

• High School Diploma and graduation from an accredited paramedic program (through a professional institute or a college/university) required.
• Nationally Registered Emergency Medical Technician (NREMT‑P) required.
• American Heart Association Basic Life Support for Healthcare Provider (BLS) required.
• American Heart Association Pediatric Advanced Life Support (PALS) required.
• American Heart Association Pediatric Advanced Life Support (ACLS) required.
• State certifications from Delaware, Maryland, and Pennsylvania within 120 days of hire required.
• Specialty certification (PNCCT, CCEMTP, FP‑C) preferred.
• At least 1 year of ALS experience in a pre‑hospital (911) or inter‑facility transport program required.
• At least 2 years of related experience preferred.

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