Emergency Medical Technician – Paramedic (EMT-P)

Employer: Chenega Support Services
Location: Pueblo Chemical Depot, Colorado  . USA


Clearance:  NACI and found able to work on a chemical stockpile/surety site.

Reports To:  Program Manager

Summary:
Emergency Medical Technican - Paramedic (EMT-P) shall work in support of the Chemical Operations at the Pueblo Chemical Depot and respond on-site to accidents and other emergencies involving injury and illness as needed, and support the Occupational Health Clinic.

Essential Duties and Responsibilities: 
(Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position)
· Responds on-site to accidents and other emergencies involving injury, toxic exposure and illnesses and proceeds to provide the treatment as prescribed in the protocol and make modifications to the protocol, if necessary, within prescribed limits.
· Conduct a complete examination of the patient to determine the nature, extent, and seriousness of his condition.
· Determines, with due regard to the patient's condition, if and how he can be moved and to which medical facility he should be transported.
· Prioritizes treatments for patient having multiple problems and employs a variety of established emergency medicine techniques, methods and equipment to the appropriate medical facility.
· Attends to patients during medical evacuation, ground and helicopter.
· Performs a variety of medical screening tests in support of the Occupational Health Clinic. Screenings include, but not limited to blood pressure checks, vision screening, audiometric testing, pulmonary function tests, and height and weight measurements. Checks vital signs, obtain height and weight, and takes client history on all clients preparatory to a complete medical examination by the Occupational Health Nurse (OHN).
· Assists in performing immunization for deployment and routine occupation health of DoD employees.
· Will certify as a CPR instructor and assist in teaching the supporting work force.
· Assist in instructing First Aid and Chemical Self/Buddy-Aid to other offices, shops, directorates and tenant activities.
· Participant in chemical, nuclear, biological, and hazardous materials training incidents and exercises.
· Conducts or assists with the training of both departmental and civilian personnel in CPR, and basic and advanced emergency medical techniques.
· Conducts training in chemical (mustard agent) exposure and emergency response and treatment transport.
· EMT-P may at times encounter situations which may be life threatening.
· Environmental Emergencies. Assesses the seriousness of and treats heat, electrical, and radiation burns, heat exhaustion/stroke, etc.
· Pharmacology. When treatment of an injury or illness requires the administration of drugs, verifies the medication to be administered with the designated physician (over the radio), calculates the dosage required, and administers the drug through an IV bottle, IV insertion, or intra-muscular injection.
· Extrication and Packaging of Victims. Uses a variety of light rescue tools and equipment for removal of victims/patients.
· Telemetry and Communication. Uses radio equipment and follows FCC procedures to communicate with and transmit EKG information to the emergency service physician.
· When operating an emergency or patient transport vehicle, selects the most efficient route to and from the site of the emergency, considering traffic patterns, health facility locations, etc. Uses telephone and radio communications equipment available in the vehicle. Adhere to traffic ordinances and regulations pertaining to operation of emergency and patient transport vehicles.
· Performs thorough safety and maintenance inspections and minor repairs on emergency and patient transport vehicles and a variety of medical equipment. Reports in clear, concise manner, orally or in writing, what injuries were identified and what patient care was administered at the emergency scene and in transit. Prepare appropriate patient and vehicle use documentation.
· After each trip, replaces used linens, blankets, and other supplies, sends supplies and equipment for sterilization as required, and checks ambulance supplies and equipment to ensure the vehicle is ready for the next run.
· Performs routine operator inspection on the vehicles and equipment, as required to maintain the vehicle in a operational status by checking such as tire pressure & tire thread ware, brake, head and signal lights, readily accessible belts, wiper blades, wiper fluid, siren, water, oil and gasoline sufficiency, antifreeze, siren function and battery charge, and inform the appropriate Government personnel if maintenance is required. Ensure that the vehicles are kept clean and neat. Decontaminate the vehicle in accordance with MTF established procedures.
· Performs a variety of medical screening tests in support of the Occupational Health Clinic. Screenings include, but not limited to blood pressure checks, vision screening, audiometric testing, pulmonary function tests, and height and weight measurements. Checks vital signs (blood pressure and pulse) and obtains height and weight on all clients preparatory to a complete medical examination (required by submission of a SF-78, Certificate of Medical Examination) by the Occupational Health Nurse (OHN). Ensure completion of and signature on SF-93 (Report of Medical History) by the client. Conducts a baseline Health Screening program for new hires referred by the installation Directorate of Civilian Personnel (DCP) with an SF-177 (Statement of Physical Ability for Light Duty Work) who are not required to undergo a complete medical examination. Takes client history and checks vital signs. Assists in performing immunization for deployment and routine occupation health of DoD employees.
· Performs audiometric testing utilizing computer-linked automated audiometric equipment. Record findings on appropriate test records. Complete reference audiogram (DD 2215) on employees assigned to hazardous noise positions and being entered in the Hearing Conservation Program. Prepare referral to the local ear nose and throat doctor when need is determined and schedules appointment. Determines type of hearing protection required (i.e., earplugs or earmuffs). Provides custom-fitting earplugs to all employees assigned to a hazardous noise area. Conducts daily system biological calibration check of audiometer and ensures results of system check are within acceptable range. Perform daily system backup. Instruct employee on the purpose of wearing hearing protection.
· Performs vision screening using appropriate equipment. Records findings on appropriate test record. Determine whether or not clients meet visual criteria for their particular job. Advise civilian personnel needing professional eye care to contact their personal physician for follow-up and/or treatment. Perform vision screening on all employees working in eye hazardous areas requiring safety glasses. Receive copy of request or prescriptions for safety glasses and ensures they are filed in the client's medical record. Perform follow-up vision tests on all employees working in eye hazardous areas, or for employees having problems with their safety glasses. Provides on site, physiologic monitoring and assessment of workers during operations where self-contained Breathing Apparatus (SCBA) are being utilized (in support of heat stress program). Recognizes and treats accordingly heat stress or claustrophobic situations arising out of that work process, using protocols and two-way radio communication to the OHC.
· Performs Pulmonary Function Tests (PFT) by calibrating PFT machine, instructs employees on technique and performance standard for obtaining test results. Upon completion of test, results are calculated and compared to previous testing to determine if there are any changes from previous tests, also to determine employee ability to wear a respirator. Instruct patient on the result of the PFT. Perform EKG's during physical examinations and in emergency entailing knowledge of placement of electrodes, operating of EKG machine and basic EKG interpretation skills.
· Screens patient records to determine required laboratory tests and orders laboratory test through CHCS. Perform basic laboratory procedures for obtaining patient blood samples related to occupational health screening/physical examinations. Able to distinguish between proper collection tubes for various laboratory tests includes collection, processing of blood samples i.e. center fusion, serum separation, refrigeration and transportation. Performs or arranges for the calibration of equipment; places, operates and maintains laboratory instruments and equipment used to determine health risks.
· Maintains the results of civilian annual physical examination on a Microsoft Access database. Generate queries and report for conservation program, respiratory protection program, vision conservation readiness program, potential hazards, immunizations, audio, vision, pulmonary function test, and EKG results.
· Maintains and inputs automated database systems. Demonstrate ability to use microcomputers; ability of data processing operations and relational database software, spreadsheet software, word processing (e.g., Microsoft Word), and presentation software (PowerPoint, Excel, etc.); ability to use statistical and mapping packages to analyze data.
· Maintains office files related to the scope of the EMT-P position in accordance with Army Regulations including maintenance of medical records. Signs in patients prior to treatment or appointment, keeping the staff informed of any changes in the schedules. Responds to all alarm signals, taking information, disseminate information to appropriate individuals, and responding as necessary. Maintain clinic alert mechanism for active chemical operations. As required, within knowledge capabilities, answers questions regarding policies and procedures of the clinic from material located in office files, SOPs, mission statements, Army Regulations and institutional knowledge.
· Compiling monthly and other statistical data related to the EMT-P position for submission to COR, providing performance improvement (quality improvement) reports as required. Types a variety of reports, correspondence related to the function of the clinic, as related to medical treatment. Inputs data, patient’s information, and medical care or assessment information into medical records as required and within the current software program being utilized for accountability of workload (currently CHCS and ADS). Reports equipment malfunction including computer problems, and follows through until issues are resolved. Always maintains confidentiality of office information files and medical records with attention to security procedures and the Privacy Act. Follows established manufacture guidelines for equipment and software utilization. Assures required reports prepared in performance of EMT-Ps duties and outgoing correspondence are in accordance with the prescribed formats.

Non-Essential Duties
· Other duties as assigned

Supervisory Responsibilities:
· NONE

Minimum Qualifications:(To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.)
· All EMT-P must be qualified to practice as an EMT-P in the State of Colorado and obtain the EMT-P National Registry within one (1) year of employment.
· Must maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certification by The American Hearth Association.
· All EMT-P must maintain a valid Colorado Drivers License and a government issued driver’s license.
· The Technical Emergency Response Technician (TERT)/Chemical/Biological surety training must be completed within six (6) months of employment.
· HCP must pass baseline and periodic medical evaluations for the mustard surveillance program and the use of appropriate personal protective equipment with physical requirements.

Knowledge, Skills and Abilities:
· Proficiency in Microsoft Office Products including MS Word, Access, Excel and PowerPoint.
· Must have prior use of electronic medical record system

Diversity:
· Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.

Ethics:
· Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.

Physical Demands:
· The 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.
· The employee is frequently required to walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must be able to carry and lift stretchers with over 150 pound, (this weight amount will fluctuate but the assistance of at least one other person should be required).
· The employee may be required to enter and administer first aid in tight and hazardous situations.
· The employee is occasionally required to stand; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision.

Work Environment:
· The work environment characterstics described here are representative of those an employee encounters while performing the essential functions of this job.
· The employee will normally work in a temperature controlled office environment with frequest exposure to electronic office equipment.
· During visits to areas of operations, employees may be exposed to extreme cold or hot weather conditions. Is occasionally exposed to fumes or airborne particles, toxic or caustic chemicals, and loud noises in a military or private commercial environment.
· Exposure to blood bourne pathogens, infections, hazardous chemical and contagious diseases is possible and employees are expected to be versed in the handling of this type of exposure.


Qualifications
Minimum Qualifications:(To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.)

· All EMT-P must be qualified to practice as an EMT-P in the State of Colorado and obtain the EMT-P National Registry within one (1) year of employment.
· Must maintain current Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certification by The American Hearth Association.
· All EMT-P must maintain a valid Colorado Drivers License and a government issued driver’s license.
· The Technical Emergency Response Technician (TERT)/Chemical/Biological surety training must be completed within six (6) months of employment.
· HCP must pass baseline and periodic medical evaluations for the mustard surveillance program and the use of appropriate personal protective equipment with physical requirements.

Knowledge, Skills and Abilities:
· Proficiency in Microsoft Office Products including MS Word, Access, Excel and PowerPoint.
· Must have prior use of electronic medical record system.

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