Paramedic

***PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.*** **Position Summary:** The purpose of the position is to provide pre-hospital and intra-hospital advanced life support care to patients who are ill or/and injured in emergency situations until patient care is relinquished to an acceptable medical facility; conduct an initial patient assessment, prioritize prompt and efficient patient care, and the transport of patient per Base Hospital protocols. **Scope of Work:** This position serves at the Tohono O'odham Nation Sells Hospital and surrounding service area. The incumbent is assigned emergency or patient transport runs by the supervisor. The incumbent is the highest-level medical provider on the scene to direct patient care. Work evaluation by the Department and the Base Hospital ensures conformity with treatment protocols and requirements through quality control procedures. **Essential Duties and Responsibilities:** *(Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):* - Independently conducts a complete patient assessment. Identifies and treats trauma and medical emergencies using advanced knowledge of topographic anatomy (e.g., right/left surface, proximal/distal, superior/inferior); knowledge of major body systems (e.g., skeletal, muscular, nervous); knowledge of advanced emergency medical techniques and understanding of the legal considerations of emergency care. - Identify the signs and symptoms of life-threatening versus non-life-threatening, trauma, and medical conditions and provide appropriate advanced treatment outlined by Arizona Department of Health Services approved protocols. - Assist with moving, lifting, and carrying patients to emergency vehicles and appropriate treatment facilities. - Treat fractures, dislocations, sprains, and various eye injuries (e.g., impaled objects, chemical or heat burns). Also, identifies cardiac abnormalities, diabetic-related complications, compromised renal function problems, and various other medical and/or trauma-related issues, and supervises field treatment at scene, en-route, or until the arrival of definitive care. - Assess the scene and recognize the need for the ancillary personnel and request additional personnel as needed. Triage the patient(s), perform primary and secondary patient assessment, search for medical alert symbols, modify protocol if necessary, and determine the extent and seriousness of the patient's condition. - Respond to and return from emergency calls using advanced knowledge of local road systems, traffic, road, and weather conditions. Safely operate emergency and patient transport vehicles under all weather and traffic conditions, selecting the most expeditious and appropriate route to and from the emergency site while adhering to governing traffic ordinances and laws on the operation of emergency vehicles. - Perform patient transport and patient care duties using advanced skills and familiarity with emergency and patient transport vehicles. Determine which Emergency Medical Service transport modalities to use as dictated by patient needs and foremost, assuring that the patient's safety is never compromised. Safely transport patients to various destinations. - Perform maintenance of the vehicles: decontaminate per established procedures; replace supplies and clean wash, and vacuum vehicles as needed. Perform safety and maintenance inspections; perform minor repairs to emergency and patient transport vehicles and equipment. - Use radio equipment following FCC procedures and effectively communicate orally and in writing with medical and ancillary personnel using extensive emergency communication techniques and operating communication equipment. Communicate with and transmit EKG information to treatment facility; supervise all communication from the fi…