Summary
This position provides advanced emergency medical care to the sick and/or injured as trained and licensed by the State of Michigan. The desired result of the paramedic's intervention is improved patient outcome.
Responsibilities
- (50%) Acts independently to formulate and initiate a plan of intervention for medical and traumatic emergencies. Invasive medical interventions include: pleural decompression, cricothyrotomy, endotracheal intubation, interosseous access, intravenous access, insertion of esophageal obturator airway, and blood sugar analysis. Non‑invasive monitoring and management techniques include: vital‑sign interpretation, cardiac rhythm analysis, 12‑lead ECG interpretation, cardiac defibrillation/cardioversion, use of an external pacemaker, pulse‑oximetry analysis, and proper delivery of oxygen therapy.
- (25%) Assesses patients during inter‑hospital transfers. Evaluation and intervention is initiated by the paramedic. Additional medical equipment is often utilized to maintain optimal patient care. Examples of equipment include: neonatal isolette, intra‑aortic balloon pump, and intravenous infusion machines.
- (25%) Supervises field medical management of ancillary rescue personnel, including any physician not identified with the Midland/Gladwin Medical Control Authority, any Medical Center employee, Michigan State Police, Midland and Gladwin City Police, County Sheriff Department, and all County and adjacent fire departments.
Other Duties and Responsibilities
- Drafts a computer report documenting assessment, intervention, and outcome of all patients receiving care.
- Generates ongoing public awareness and education programs to ensure that medical center staff, physicians, and the general public perceive this service (EMS) and the Medical Center in a positive manner.
- Evaluates readiness and safety of emergency equipment and vehicles (cardiac monitor, external pacemaker, pulse‑oximeter, laryngoscope, and any/all equipment required by the State of Michigan).
- Assesses emergency vehicle safety, including roadworthiness.
- Cleans, polishes EMS vehicles and stations daily; decontaminates any vehicle/equipment after exposure to contaminated substances.
- Demonstrates competency in Microsoft Windows and may be required to participate in further learning opportunities offered by MyMichigan Health.
- Other duties as assigned.
Certifications and Licensures
- ACLS – Advanced Cardiac Life Support (required within 1 month of hire or transfer)
- BLS – Basic Life Support (required within 1 month of hire or transfer)
- DMV CHECK – DMV Record Check
- EMT‑P – Paramedic (knowledge of emergency medicine normally acquired through 2 years of emergency education culminating in licensure as an Emergency Medical Services – Paramedic; knowledge of pre‑hospital care normally acquired through 2 years working in a Medical Center or similar setting)
- NIMS IS 100 – NIMS IS 100 Introduction Incident Command System (required within 6 months of hire or transfer)
- NIMS IS 700 – NIMS IS 700 Introduction National Incident Management System (required within 6 months of hire or transfer)
- PALS – Pediatric Advanced Life Support (required within 12 months of hire or transfer; new requirement as of July 2016)
- PHTLS – Pre‑Hospital Trauma Life Support (required beginning July 1, 2023; employees have 1 year to achieve and must maintain this certification)
Required Education
High School Diploma or GED.
Experience, Training and Skills
- Knowledge of emergency medicine normally acquired through 2 years of emergency education culminating in licensure as a Paramic.
- Knowledge of pre‑hospital care normally acquired through 2 years of experience working in a Medical Center or similar setting.
- Hazardous Materials Management.
- Ability to function independently.
- Ability to analyze patient condition, synthesize information, and coordinate a precise treatment plan.
- Negotiation skills with patients and families to assure compliance.
- Mass casualty triage ability.
- Knowledge of cardiac rhythm analysis, pharmacology, invasive techniques (pleural decompression, cricothyrotomy, endotracheal intubation, interosseous access, central and peripheral IV, esophageal obturator airway, blood sugar analysis) and non‑invasive techniques (pulse‑oximetry, heart/lung sound analysis, blood pressure analysis).
- Basic operation of external pacemaker.
- Knowledge of extrication and special rescue.
- Geographical orientation to access emergency locations.
- Training and licensure to meet State of Michigan requirements, MMC fleet insurance requirements, and any other medical center requirements.
- Direct ancillary personnel (fire rescue, law enforcement, bystanders); immobilize potential fractures and spinal cord injuries.
- Excellent driving skills for emergency vehicles.
- Interpersonal skills for consoling and comforting victims and families.
Physical and Mental Requirements and Typical Working Conditions
- Exposure to stressful situations, including public contact, trauma, grief, and death.
- Ability to wear personal protective equipment that includes latex or appropriate substitute.
- Mobility without or with an assistive device; perform all job functions.
- Vision and hearing necessary, with or without assistive device.
- Capacity to sit, stand, walk for long periods; frequent postural changes such as stooping, kneeling, or crouching.
- Some exposure to blood‑borne pathogens and other potentially infectious material.
- Follow MidMichigan Health blood‑borne pathogen and TB testing requirements.
- Ability to handle multiple tasks, work independently, maintain regular and predictable attendance, and stay awake.
- Dexterity for handling, reaching, grasping, and feeling; repeated movements may be required.
- Physical demand level – Very Heavy: occasionally (0‑33% of the day) lift or carry over 100 lbs.; frequently (34‑66%) over 50 lbs.; constantly (67‑100%) over 20 lbs. and/or push/pull arm/leg controls.
Additional Credentials and Requirements
- ACLS – Advanced Cardiac Life Support (required within 1 month)
- BLS – Basic Life Support (required within 1 month)
- DMV CHECK – DMV Record Check
- EMT–P – Paramedic (knowledge of emergency medicine from 2 years of training and licensure)
- PALS – Pediatric Advanced Life Support (required within 12 months; new July 2016)
- PHTLS – Pre‑Hospital Trauma Life Support (required from July 1, 2023; 1 year to achieve and maintain)
- NIMS IS 100 – Introduction Incident Command System (required within 6 months)
- NIMS IS 700 – Introduction National Incident Management System (required within 6 months)