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Job Summary Provides paramedic level emergency medical care to patients at the scene, in transport, and at the hospital. Transports patients from the scene to the hospital or from one facility to another facility. Directs the work of Emergency Medical Technician (EMT) and Advanced Emergency Medical Technician (AEMT) while on duty. Job Duties Routine duties shall include providing health care services to individuals eligible for services in accordance with the self-governance compact and funding agreement between the Cherokee Nation and the United States executed under the authority of the Indian Self-Determination and Education Assistance Act.   Assures all patients receive medical care to the paramedic level according to the Cherokee Nation Ambulance Service Protocols.   Operates and monitors specialized equipment such as mechanical cardiopulmonary resuscitators, EKG monitors, cardiac defibrillators, laryngoscopes, oro-pharyngeal suction equipment, oxygen delivery devices, and IV infusion pumps per paramedic protocols and medical control.   Obtains a history on each patient's past and present medical problems, medications and allergies.   Administers therapeutic measures as prescribed per protocol or medical control such as initiation of IV fluids, wound irrigation, naso-gastric intubation, cardiac monitoring, defibrillation, tracheal intubation and thoracentesis.   Provides direction and supervision pertaining to patient care, scene management and maintenance to EMT students of all levels while students are on duty including at the scene, in transport and at the medical facility.   Maintains supplies and equipment on ambulance. Assures units are clean and safe.   Takes charge on scene and oversees all aspects of patient care.   Complies with the applicable state, tribal and federal regulations in regard to the security, safety and confidentiality of any health services record they create, maintain, transfer, or destroy, whether the record is written, taped, computerized, or stored in any other medium. Other duties may be assigned.   SUPERVISORY RESPONSIBILITIES Lead position.

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.   U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.   Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.   In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.   Occ Summary The Dialysis Technician works closely with, and under the direct supervision of, registered nurses as an important member of the patient care team. The certified hemodialysis technician must understand the scientific principles of dialysis, the process of the dialysis treatment, and how to respond to the physical and emotional needs of people undergoing dialysis treatments. Work Performed Assembles and prepares the dialysis extracorporeal circuit according to protocol. protocol and dialysis prescription. Tests monitors and machine functions, including alarms, conductivity and temperature. verifies absence of residual sterilants. Sets monitors and alarms according to unit and manufacturer protocols. Obtains and documents pre-dialysis vital signs, weight, and temperature. Inspects a patient's dialysis access, inserts needles, and initiates dialysis according to unit protocol and patient prescription. Documents treatment parameters and communicates patient condition and issues to Registered Nurse. Measures and adjusts blood flow rates according to established protocols and prescription. Calculates and adjusts fluid removal rates according to established protocols and prescription. Monitors patients and equipment, responds to alarms, and readjusts treatment parameters as defined by established protocols and individual patient requirements as directed by the registered nurse, physician order, or unit protocol. Changes fluid removal rate and patient position, and administers replacement saline as directed by the registered nurse, physician order, or unit protocol. Responds appropriately to dialysis-related emergencies such as hypotensive episodes, needle displacement or infiltration, clotting episodes, blood leaks, air emboli, etc. Initiates cardiopulmonary resuscitation (CPR) in the event of a cardiac arrest. Discontinues dialysis and establishes hemostasis following unit protocol. Inspects, cleans, and dresses access according to unit Obtains and records post-dialysis vital signs, temperature, and weight. Discards dialysis supplies and sanitizes equipment according to manufacturer and unit protocol. Communicates emotional, medical, psychosocial, and nutritional concerns to the registerednurse. Maintains professional conduct, good communication skills, and confidentiality in the care of patients. Participates in the multidisciplinary process. Collaborates with the registered nurse in identifying and meeting patient education goals. Knowledge, Skills and Abilities Knowledge of the principles of dialysis. Knowledge of the dialysis process. Knowledge of hemodialysis patient care. Knowledge of the dialysis water purification system and water testing. Level Characteristics N/A Minimum Qualifications Education High school diploma or equivalency. Completion of Certified Dialysis Training Program. Experience Two years of current hemodialysis experience to acquire the principles of dialysis and water treatment systems required. Degrees, Licensures, Certifications National Certification in dialysis CCHT or CCHTA through the National Nurses Certification Commission or CHT (BONENT certified) through the Board of Nephrology Examiners Nursing and Technology required.   Duke 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 essentialjob 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.  

General Description of the Job Class   Perform routine waived and moderate complexity tests in a clinical laboratory for use in the treatment and diagnosis of disease.   Duties and Responsibilities of this Level   Perform routine tests in clinical laboratories for use in the treatment and diagnosis of disease using standard techniques and equipment; perform related duties in laboratory to include storing and labeling specimens and using manual and automatic equipment to prepare specimens and perform analytical tests. Prepare sterile media in plates, jars or test tubes for use in growing bacterial cultures; incubate culture for specific times at prescribed temperatures. Understand and comply with laboratory Quality Control and Quality Assurance policies and procedures for instrumentation and testing. Prepare solutions, reagents and stains, following standard laboratory formulas and procedures. Maintain detailed records of tests performed and report laboratory test results to appropriate personnel; recognize Quality Control shifts and trends and take appropriate action whenever necessary. Calibrate and perform routine maintenance on test equipment, clean and sterilize laboratory equipment, glassware and instruments, maintain laboratory supply of chemicals and glassware; perform routine maintenance on equipment. Collect blood specimens from patients using venipuncture, or heel or finger stick; carry out Point-of-Care Testing waived tests and urinalysis without microscope Utilize various hospital and laboratory information systems and software. Interact in a professional and courteous manner with doctors, nurses, and other personnel to provide technical guidance and address concerns. Perform other related duties incidental to the work described herein.   Knowledge, Skills, and Abilities Experience involving patient contact, customer service in a medical setting, strong communication skills, both verbal and written. Basic knowledge of medical terminology Working knowledge of laboratory and hospital computer systems is helpful Basic knowledge of laboratory safety and infection control procedures and practices including standard precautions and hazardous chemical handling. Ability to demonstrate required dexterity, knowledge, and ability to complete assigned laboratory tasks and skills, attention to detail and compliance with all appropriate regulatory and safety requirements. Ability to maintain effective working relationships with other employees.   Distinguishing Characteristics of this Level Act as the PIC (person in charge aka General Supervisor in the absence of the Supervisor/Manager/Tech III) after attaining 1 yr of high complexity laboratory experience post scientific baccalaureate degree or 2 years high complexity experience post scientific associate degree. Provide daily supervision and/or oversight of the laboratory operation and personnel performing testing and reporting test results. Provide direct supervision of all high complexity testing. Monitor testing to ensure that acceptable levels of analytic performance are maintained. Responsibilities delegated from the director or technical supervisor include: Assure remedial action is taken and documented whenever tests systems deviate from established performance specifications Ensure that patient testing results are not reported until corrective action has been taken and the test system is functioning properly   Minimum Qualifications     Education AS, AD or BS Degree or previous classification as non-certified medical technologist.   Experience   None required beyond education/training requirement. Alternatively, an equivalent combination of relevant education and/or experience. MLT with 4 years experience. Non-Cert Medical technologist (meeting CLIA requirements).   Degrees, Licensures, Certifications   Certification by a nationally recognized agency/board or eligible, or CLIA 1988 grandfathered.   Duke 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 essentialjob 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.  

Responsible for administering advanced life support care to critically ill or injured persons and providing a safe environment for patients during transportation to and from the Medical Center. Assesses and treats ill and injured patients in accordance with local and University protocols.   Responsible for administering advanced life support care to critically ill or injured persons in a safe environment. Maintains safety as a primary responsibility throughout all aspects of care and transportation. Identifies potential areas for improved care. Interfaces effectively with peers and customers and assumes responsibility for professional development of self and others per department policy. In addition to the above job responsibilities, other duties may be assigned. Position Compensation Range: $18.01 - $27.92 Hourly Licensure: Required: Virginia Department of Health Emergency Medical Technician-Paramedic or eligible for reciprocity  American Heart Association (AHA) Health Care Provider BLS certification. American Heart Association (AHA) ACLS American Heart Association (AHA) PALS Unrestricted Valid Driver’s License. Required within 6 months of hire date: Neonatal Resuscitation Program  STABLE Emergency Vehicle Operators Course (EVOC) Level II or higher. PHYSICAL DEMANDS Must be able to safely and securely fasten seat belts and shoulder harnesses in aircraft or ambulance as provided by the aircraft or ambulance manufacturer without modification to those safety devices. Able to tolerate stressors of flight and medical transport including but not limited to: excessive motion vibration extreme temperatures standing or sitting for prolonged periods frequent walking bending/stooping and providing patient care in confined spaces. Able to respond to visual verbal and non-verbal commands and communicate effectively verbally and in writing. Must be able to lift/push/pull a minimum of 150 lbs. May be exposed to hazardous chemicals blood/body fluids and infectious diseases. The University of Virginia, including the UVA Health System and the University Physician’s Group are fundamentally committed to the diversity of our faculty and staff.  We believe diversity is excellence expressing itself through every person's perspectives and lived experiences.  We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.

Reports to the Nurse Manager and RN Coordinators and works under the direct supervision of the Registered Nurse or Licensed Practical Nurse. Performs Nurse Aide I skills as approved by the North Carolina Board of Nursing and NHRMC policy. Responsible for completing a variety of department specific tasks to assist with optimal department safety and functioning. Actively participates in all aspects of the rehabilitation process as a member of the interdisciplinary team. Supports LEAN activities and adapts to changing environment to meet patient and department needs. Advocates for NHRMC, Rehabilitation Services, patients, and coworkers.

Complex clerical position involving multiple tasks and functions. Under the general direction of the site Manager, responsible for the accuracy and completion of patient registration based on department protocol, policies and procedures. Also responsible for scheduling appointments, tests, procedures and referrals for patients. Answers phone calls and communicates with other health care facilities and providers. Facilitates the flow of patient information across the continuum of care. Prioritizes multiple requests for assistance from patients, staff and physicians. Performs duties necessary to ensure all accounts are processed accurately and efficiently.

The PCT works under the direction of the Nurse Manager and under the direct supervision of the Registered Nurse or delegated Licensed Practical Nurse as a Nurse Aide 1 or a Nurse Aide II, to provide patient care within their scope of practice. The patient care activities are individualized for each patient population. The PCT provides clerical activities that include transcribing, communicating and maintaining written information. They communicate verbal information accurately and courteously and provide assistance to customers and team members. The PCT is also responsible for completing a variety of department specific tasks to assist with optimal department safety and functioning.

Employee works under the supervision of the pharmacist. As directed, provides assistance to pharmacists by profiling medications and products, preparing and delivering these products, and maintaining adequate inventory of stock and supplies. Employee must be proficient at accessing and viewing pharmacy electronic information systems and pharmacy automated systems. Employee will work in multiple areas of the pharmacy, as directed, to maintain competency and broaden skills for all areas of the job scope.

Employee works under the supervision of the pharmacist. As directed, provides assistance to pharmacists by profiling medications and products, preparing and delivering these products, and maintaining adequate inventory of stock and supplies. Employee must be proficient at accessing and viewing pharmacy electronic information systems and pharmacy automated systems. Employee will work in multiple areas of the pharmacy, as directed, to maintain competency and broaden skills for all areas of the job scope.

Employee works under the supervision of the pharmacist. As directed, provides assistance to pharmacists by profiling medications and products, preparing and delivering these products, and maintaining adequate inventory of stock and supplies. Employee must be proficient at accessing and viewing pharmacy electronic information systems and pharmacy automated systems. Employee will work in multiple areas of the pharmacy, as directed, to maintain competency and broaden skills for all areas of the job scope.

Employee works under the supervision of the pharmacist. As directed, provides assistance to pharmacists by profiling medications and products, preparing and delivering these products, and maintaining adequate inventory of stock and supplies. Employee must be proficient at accessing and viewing pharmacy electronic information systems and pharmacy automated systems. Employee will work in multiple areas of the pharmacy, as directed, to maintain competency and broaden skills for all areas of the job scope.

Employee works under the supervision of the pharmacist. As directed, provides assistance to pharmacists by profiling medications and products, preparing and delivering these products, and maintaining adequate inventory of stock and supplies. Employee must be proficient at accessing and viewing pharmacy electronic information systems and pharmacy automated systems. Employee will work in multiple areas of the pharmacy, as directed, to maintain competency and broaden skills for all areas of the job scope.

Employee works under the supervision of the pharmacist. As directed, provides assistance to pharmacists by profiling medications and products, preparing and delivering these products, and maintaining adequate inventory of stock and supplies. Employee must be proficient at accessing and viewing pharmacy electronic information systems and pharmacy automated systems. Employee will work in multiple areas of the pharmacy, as directed, to maintain competency and broaden skills for all areas of the job scope.

Employee works under the supervision of the pharmacist. As directed, provides assistance to pharmacists by profiling medications and products, preparing and delivering these products, and maintaining adequate inventory of stock and supplies. Employee must be proficient at accessing and viewing pharmacy electronic information systems and pharmacy automated systems. Employee will work in multiple areas of the pharmacy, as directed, to maintain competency and broaden skills for all areas of the job scope.

Employee works under the supervision of the pharmacist. As directed, provides assistance to pharmacists by profiling medications and products, preparing and delivering these products, and maintaining adequate inventory of stock and supplies. Employee must be proficient at accessing and viewing pharmacy electronic information systems and pharmacy automated systems. Employee will work in multiple areas of the pharmacy, as directed, to maintain competency and broaden skills for all areas of the job scope.

Complex clerical position involving multiple tasks and functions. Responsible for the accuracy and completion of patient registration based on departmental and organizational policies and procedures. Also responsible for scheduling appointments, tests, procedures and referrals for patients. Answers phone calls and communicates with other health care facilities and providers. Facilitates the flow of patient information across the continuum of care. Prioritizes multiple requests for assistance from patients, staff and physicians. Performs duties necessary to ensure all accounts are processed accurately and efficiently.

The Staff Paramedic provides high quality patient care and safe medical transport to sick and injured patients in all age groups. Develops a plan of care for each patient that is consistent with approved treatment protocols, policies and procedures. Responsible for the operation of emergency vehicles.

The Staff Paramedic provides high quality patient care and safe medical transport to sick and injured patients in all age groups. Develops a plan of care for each patient that is consistent with approved treatment protocols, policies and procedures. Responsible for the operation of emergency vehicles.

The Staff Paramedic provides high quality patient care and safe medical transport to sick and injured patients in all age groups. Develops a plan of care for each patient that is consistent with approved treatment protocols, policies and procedures. Responsible for the operation of emergency vehicles.

The Staff Paramedic provides high quality patient care and safe medical transport to sick and injured patients in all age groups. Develops a plan of care for each patient that is consistent with approved treatment protocols, policies and procedures. Responsible for the operation of emergency vehicles.