Make a diﬀerence in the community you live in! As a Community Builder—an employee with the City of Gainesville— you will have a direct hand in building and improving your community and making a visible impact on the lives of your neighbors. Working for local government is more than a job, it’s a chance to contribute to community success and to help enhance the Gainesville way of life.

Job Details:

This is a professional technical position assisting in developing, implementing administering, and presenting a robust preemptive Community Resource Paramedicine (CRP) Program and services for the organization, its facilities, and local community. An employee assigned to this classification provides care coordination services, comprehensive information, and resource referrals via telephone and in person; performs safety and health checks and offers follow-up care to persons in need. Employee also acts as a professional member of the pre-hospital emergency care team in providing comprehensive basic and advanced life support treatment and care.

Positions allocated to this classification report to the CRP Program Coordinator and work under general direction. Work in this class is distinguished from higher classes by its lack of managerial responsibility and from lower classes by its administrative responsibilities. Errors in this classification have a significant effect on program and patient health outcomes.Job Description:

SUMMARY

EXAMPLES OF WORK*

*This section of the job description is not intended to be a comprehensive list of duties and responsibilities of the position. The omission of a specific job function does not absolve an employee from being required to perform additional tasks incidental to or inherent in the job. Performance of lower level duties may be required.

ESSENTIAL JOB FUNCTIONS

Responds to emergencies with operational fire crews when emergencies arise on CRP visits or by 911 dispatch via a district chief when a CRP unit is available and needed.

Performs technical work and documentation in the provision of Basic Life Support (BLS) or Advanced Life Support (ALS) for the acutely sick and injured as defined in Florida Administrative Code 64J-1. Uses medical equipment, based on competency level, such as but not limited to cardiac monitor, defibrillator, performs endotracheal intubation to open airways and ventilate patients; uses other adjunct airways as needed under the direction of a physician.

Provide in-home assessments and treatments at the ALS level on behalf of primary care physicians

ALS Care includes the following:

The management of patient care with the assistance of an EMT under the guidance of a supervisory physician or written protocols prepared by a medical director.
Interpretation of cardiac rhythms with appropriate interventions.
The diagnosis of an acute myocardial infarction (heart attack) via the interpretation of a 12 lead ecg.
The use of cardiac medications to treat cardiac dysrhythmias
The use of handheld blood analyzers (such as an I-Stat) to process blood labs on behalf of Emergency Room or primary Care Physicians
The recognition of high risk medical events such as sepsis, stroke, acute heart failure, and other medical emergencies
The delivery of medications via Intramuscular Shots, Intravenous infusion, or Intravenous bolus.
The management and treatment of respiratory distress patients including invasive procedures the administration of IV/IM medication and advanced airway interventions such as intubation, or surgical cricothyrotomy
The management and treatment of a cardiac arrest patient including invasive procedures such as advanced airways, defibrillation, and IV ACLS medications per the current GFR medical protocols.
The management and treatment of serious traumatic injury including the identification of Trauma Alerts, Invasive procedures such as surgical airway procedure of cricothyrotomy, the use of needle decompression to alleviate tension pneumothorax.
The delivery of insulin through the use of a subcutaneous injection
Either through written orders or via telemedicine conferencing that include assessments, interpreting ECGs, and delivering prescribed medications more consistent with primary care or chronic disease management such as antibiotics, insulin, and antiviral medications.
The performance and analysis of basic vitals signs and advanced diagnostics such as capnography, ecg interpretation, and possibly ultrasound imaging.

Assessments and treatments will require protection of privacy for all patient information in accordance with the agency’s privacy policies, procedures, and practices, as required by federal and state law, an in accordance with general principles of professionalism as a health care provider.

Managing Student Interns/Volunteers from various health programs at local educational institutions including mentoring, supervising during patient visits, and completing evaluations.

Prepares, decontaminates, inspects, inventories, repairs, and/or maintains medical equipment and supplies, first aid materials, and vehicles for safe operation; tests all equipment on a regular basis and checks for future readiness.

Attends team meetings and in-service training as required to remain knowledgeable of departmental operations, to promote improved job performance, and to stay current with changing emergency medicine techniques, state/local policies, procedures, codes, and laws.

Provides direct service through mobile response to identify, prioritize, and resolve social issues including unmet needs in order to reduce repeat 911 use, decrease hospital readmission, and increase patient quality of life.

Coordinates with CRP Program Coordinator and designated medical supervision to create care plans for program patients. Assists in analyzing, designing, implementing, and maintaining a strong and proactive CRP program to meet program goals as established by the Program Coordinator.

Drives and operates ambulances, and other response vehicles to and from incidents in response to emergencies and regularly scheduled appointments.

Develops and maintains effective liaison with assisting community agencies.

Ensures the proper tracking of data and statistical information related to the program.

Conducts special projects in conjunction with the program, to include assisting with grant applications and funding implementation.

Assists in advancing and planning city wide health events such as mobile vaccination, mobile preventative testing, and community health fairs.

Attends work on a continuous and regular basis.

NON-ESSENTIAL JOB FUNCTIONS

Coordinates events and interfaces with other related City events and events sponsored by other organizations.

Works with local, state, and federal agencies, organizations, and individuals relating to program issues.

May be required to supervise employees designated as performing "safety sensitive" functions, for purposes of the Drug Free Workplace Program, depending on job assignment and work location.

May be responsible for enforcing the drug policy, based on physical location and organizational structure.

May act in absence of supervisor.

Employee is subject to recall during a state of emergency.

Assist in identifying grant opportunities and gathering the data/information necessary for those applications.

Performs other related duties as assigned.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential job function satisfactorily. Below are the required education, experience, knowledge, skills and abilities to perform the essential functions.

EDUCATION AND EXPERIENCE

Graduation from high school or possession of an acceptable equivalency diploma, and one (1) year progressive experience in health, social services, public health, or an equivalent combination of education, training and experience which provide the required knowledge, skills and abilities.

Completion of Paramedic certification program, to include a 42-hour credit academic program (most of which clinical hours) and National Registry and/or State of Florida licensure.

Time working in a community resource program or paramedicine program preferred.

Associate’s (2 year) degree preferred.

CERTIFICATIONS OR LICENSES

Licenses

Valid driver license required upon appointment.

Certifications

Must possess Florida State Certification as a Paramedic.

Emergency Vehicle Operations Course required within twelve (12) months of appointment.

American Heart Association CPR certification.

KNOWLEDGE, SKILLS AND ABILITIES

Has thorough knowledge of the laws, ordinances, standards, and regulations pertaining to the essential duties and responsibilities of the position.

Knowledge of hospital, social service, and City operational systems and procedures.

Knowledge of chronic disease and how they are successfully managed as well as how they are commonly mismanaged.

Understanding "Social Determinants of Health" and how they may drive repeat hospital visits and 911 calls, as well as how to mitigate those problems.

Knowledge of the 911 response system and associated technologies such as Incident Reporting Systems, mobile radios, Computer aided dispatch, and the response matrix for various call types.

Initiative and resourcefulness in making decisions within established or widely accepted standards

Vocational or technical knowledge and skills necessary to apply and adapt standard practices to a variety of situations

Knowledge of prehospital medicine at the Paramedic level as well as family medicine assessments and treatments.

Knowledge of community paramedicine, program coordination concepts, principles, and operation.

Knowledge of accessing and navigating the healthcare system including insurance companies.

Knowledge of core competencies of public health.

Ability to exercise independent judgment to adopt or modify methods and standards to meet variations in assigned objectives.

Ability to exercise the judgment and decisiveness required in situations involving evaluation of information against measurable or verifiable criteria.

Strong interpersonal skills as demonstrated by the ability to interact collaboratively and productively and to establish and maintain effective working relationships with individuals of diverse backgrounds including elected and appointed government officials, Charter Officers, City employees, representatives of other agencies, and the general public.

Skill in operative an emergency motor vehicle.

Proficient in the use of computer software and data entry.

Proficient in the use of EMS equipment and EMS communications.

Advanced Life Support skills as well as skills needed to perform primary care assessment and diagnostics.

Case management.

Ability to organize and plan work and analyze situations, programs, and problems.

Ability to communicate effectively, both orally and in writing.

Ability to coach and mentor others.

Ability to be proactive and take initiative without prompting.

Ability to cope well in stressful environments.

Ability to multitask and successfully handle various and sundry tasks.

Ability to maintain records and prepare reports.

PHYSICAL AND ENVIRONMENTAL REQUIREMENTS

To perform this job successfully, an individual must possess certain physical abilities and be able to withstand work related environmental conditions.

PHYSICAL REQUIREMENTS

While performing the duties of this job, the employee must meet the moral, educational, health, and physical requirements prescribed by the City.

Pre-employment medical examination is required including satisfactory drug screening.

Must exhibit clear written and oral communication skills, see physical surroundings, listen, hear others, and respond to oral commands.

While performing the duties of this job, the employee is often required to sit for prolonged periods of time and to stand in front of large groups to deliver community health education.

Work requires physical strength and agility to sufficiently and safely perform all essential job functions, including the ability to lift, carry, push or pull twenty (30) pounds without assistance, as well as standing, kneeling and stooping.

Work requires the ability to climb and descend stairs and ladders.

WORK ENVIRONMENT

Work may require the use of medical personal protection equipment required for infectious and dangerous exposures such as mask, eye protection, gown and gloves.

Work requires being available and on-call 24 hours per day during City Emergency Operations Center activations.

Must be available to work flexible hours outside regular working hours to include evenings and weekends.

Work will require performance of tasks outdoors under varying weather conditions.

Work requires transport of materials and supplies outdoors under various climatic conditions.

May be required to work and attend meetings outside regular business hours.

May be required to work remotely.

Note:

May Require Assessment(s).

May fill multiple positions.

May establish an eligibility list.

Come join our team! The City of Gainesville oﬀers a competitive beneﬁts package and opportunities to grow both professionally and personally.

All ‘regular’ employees are eligible for traditional beneﬁts such as health insurance, life insurance, paid leave, 11 paid a holidays a year, a pension plan and a deferred compensation plan, but we also oﬀer great things like on-site ﬁtness centers, tuition reimbursement, on-site medical staﬀ and a wellness program to keep you healthy and happy. Please note; benefits are not available for temporary employees.

Equal Opportunity

The City of Gainesville is an equal opportunity/affirmative action employer and does not discriminate in hiring. Minorities, women and individuals with disabilities are encouraged to apply. Individuals with a disability, who require special accommodations during the selection process, should notify the Human Resources Department at 352-334-5077 or TDD/TTY at 352-334-2292.

Veterans' Preference

Veterans are encouraged to apply. Veterans’ Preference ensures that veterans and eligible persons are given consideration at each step of the selection process. However, preference does not guarantee that a veteran or other eligible person will be the candidate selected to fill the position. Section 295.07, Florida Statutes (F.S.) specifies who is eligible for Veterans’ Preference. State of Florida residency is not required for Veterans’ Preference.

If you are unable to apply online due to a disability, contact recruiting at HR@cityofgainesville.org or by calling 352-334-5077.

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Community Resource Paramedicine Responder II