Duke University PARAMEDIC in Durham, North Carolina


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Occupational 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 Performed

Level I (Advanced Life Support Paramedic) 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 missions’ 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. Other duties as assigned. LEVEL II (Critical Care Paramedic) Perform all responsibilities specified in Level I. 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 patient’s 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. 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, ICU’s, 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.

Knowledge Skills and Abilities

Level I 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 Level II 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





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Duke University 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 essential job 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.


Successful completion of a United States Department of Transportation (USDOT) centered or similar approved Paramedic Course.


Level I Preferred three years prehospital experience with a moderate volume (15,000-20,000 calls/year) 911 agency. Level II 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, Licensures, Certifications

Level I 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 driver’s 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 Level II Satisfy all requirements of Level I 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.