At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.About Duke Raleigh Hospital, A Campus of Duke University HospitalPursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina, which has been part of Duke Health since 1998 and has served Wake County for more than 35 years. Duke Raleigh Campus features 204 inpatient beds and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care.Surgical Technologists are eligible for a $10,000 Commitment Bonus!Relocation Bonuses also available!General Description of the Job ClassSurgical Technologists (ST) are allied health professionals who assist in the preparation and care of surgical patients ranging from infancy to geriatrics under the general direction of a professional nurse. The ST possesses expertise in the theory and application of sterile aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a surgeon's performance of invasive therapeutic and diagnostic procedures.The ST who has a dual function in the operating room and the ambulatory setting demonstrates competency in the care of surgical patients preoperatively and postoperatively in the ambulatory surgical clinic setting.Duties and Responsibilities of this LevelLevel I - New graduate with up to 18 months of full-time equivalent experience.Perform all responsibilities in a manner that demonstrates Service Excellence towards patients, physicians, peers and other departments. Assume responsibility for upholding the policies and procedures of the department and organization.Demonstrates eagerness to learn, takes direction, adapts to changes within unit, demonstrates consistent progress toward Level II.Establishes and maintains sterile field and assures team maintains sterile environment. Demonstrate and practice a good understanding of sterile technique.Has a basic knowledge of instrumentations. Prepare Operating Room with appropriate instrumentation, equipment and supplies.Demonstrates correct and safe instrumentation passing and performs sponge, needle and instrument counts in a safe and accurate manner.Maintain technical skills to serve a patient population comprised of infancy to geriatric clients.Take calls and rotate shifts as required under the direction of a registered nurse.For Surgical Technologists with a dual role in an ambulatory environment, additional responsibilities may include: prepare patients for examinations and procedures in the surgical clinic setting; assist the physician during patient examination and procedures in the clinic; collect and label laboratory specimens for processing; reinforce postoperative instructions under direction of physician or RN; assist with incoming and outgoing patient calls under supervision of physician or RN; remove sutures/ staples, change sterile and non-sterile dressings, following DUHS policies and procedures, under direction of RN or physician; perform other clinical functions as delegated and supervised by the RN or physician; schedule and post surgical cases; coordinate complex scheduling of cases which require additional surgical support; update and file patient medical records.Must advance to level II within 18 months.Perform other duties and responsibilities as required.Level II - Perform all the duties and responsibilities of Level I, plus the following:Assist with the teaching of newly hired technologists and student technologists.Serve as a role model to new employees and other staff members.Establish and maintain sterile field and assure team maintains sterile environment independently.Anticipate the needs of the surgical team.Apply basic knowledge of instrumentations to several cases.Demonstrate appropriate and correct case preparation.Competent at unit level.Corrects deficiencies at the case level.Communicate effectively with patients, staff members and physicians.Adherence to standards including but not limited to unit and hospital policies and procedures, regulatory standards, and patient safety goals.Assume responsibility for self and ensures that the policies, procedures and safety practices of the Operating Room and Hospital are reinforced.Perform other duties and responsibilities as required.Required Qualifications at this LevelEducationGraduate of an accredited Surgical Technology program or maintains an accredited Surgical Technologist certification (NCCT or NBSTSA).Or, provides evidence of the successful completion of an appropriate training program for Surgical Technology in the United States Military.ExperienceLevel I- Entry level position for new graduates of Surgical Technology program or Surgical Technologists with 0 to 18 months experience.Level II- Requires 6 to 12 months of full-time equivalent Surgical Technology or relevant military experience.Degrees, Licensure, and/or CertificationLevel I- N/ALevel II- N/AKnowledge, Skills, and AbilitiesAbility to adapt to changes within unit.Ability to work effectively and efficiently under pressure in a stressful environment, and often without relief.Ability to demonstrate knowledge of anatomy relating to the surgical procedure and the instrumentation required in order to effectively anticipate the needs of the surgeon.Ability to set priorities and respond appropriately to actual and/or potential life threatening situations. 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 ideasan 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.

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.About Duke Raleigh Hospital, A Campus of Duke University HospitalPursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina, which has been part of Duke Health since 1998 and has served Wake County for more than 35 years. Duke Raleigh Campus features 204 inpatient beds and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care.Nursing Care Assistant II (CNA II) – Surgery Center**$5,000 commitment bonus for eligible candidates**Department SummaryThe Surgery Center is a hospital based ambulatory surgery center located on the Duke Raleigh Hospital, A Campus of Duke University Hospital campus at 3300 Executive Drive. This specialty surgical platformhas4 procedure rooms including outpatient ophthalmology and other general surgery service lines, performing over 3400 patients annually. Job SummaryThe Nursing Assistant (NA) is a patient care support partner with the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) and performs work as delegated by the RN or LPN. The NA provides direct care to patients and assists with non-direct patient care unit coordination. The individual in this position is expected to perform basic care and comfort standards as well as have knowledge of the patient population needs in the assigned work area. In addition, the NA is expected to assist the RN in the care of acutely ill patients. This individual is expected to practice medical asepsis, respect the dignity and privacy of every patient and family, and to respect cultural differences during patient care. They are expected to know and adhere to all basic policies and procedures and respond appropriately during emergency situations. They are expected to maintain the patient/family environment, perform general unit upkeep, order and maintain unit equipment, and order supplies as needed, with or without direct supervision. The NA is expected to use accurate verbal and written communication and to document patient care appropriately in the electronic health record. Perform tasks within the scope of a Nursing Care Assistant I and II as defined by the NC Board of Nursing.What you will do: Prepare patients, equipment and supplies for specific procedures and provide manual assistance as required.Obtain and record patient data for medical records noting and informing RN/LPN of information collected.Administer treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients.Participate in teaching activities by reinforcing teaching instructed by RN and/or providers as needed.Assist providers and nurses with physical examinations by helping position patients, changing non-sterile dressing and weighing patients.Take and record vital signs, record I&O, and apply ice bags. Note and report any changes in patient's condition. Turn and position patients, set up and feed patients as necessary, provide patients with fresh drinking water.Perform fingersticks for blood glucose testing, with appropriate training, document and notify RN/LPN.Assist with admission, discharge, and transportation of patients. Follow standard precautions and use personal protective equipment as required.Collect, deliver and conduct routine tests on patient specimens. Clean assigned area; stock and replenish supplies and equipment as required.Participate in own professional development by maintaining required skills validation and attending educational offerings. Support the development of other staff and formal learners.May also perform clean dressing change for wounds over 48 hours old.Perform other related duties incidental to work described herein.In addition to the NCA I duties outlined, the following duties may be performed: sterile dressing change for wounds over 48 hours old and wound irrigation; IV fluid assistance activities; oral/nasogastric feeding; urinary catheterization and irrigation; oxygen therapy, including room set-up and monitoring flow-rate; break up and removal of fecal impaction; oropharyngeal and nasopharyngeal suctioning; tracheotomy care; ostomy care and irrigation. These additional skills will require competency validation on hire as well as annual competency validation.What you will need: EducationCompletion of Level I Nurse Aide education program approved by the North Carolina Board of Nursing or successful completion of the NC - approved Nurse Aide I competency test and completion of Level II Nurse Aide education programs approved by the North Carolina Board of Nursing.High School diploma or equivalent required.ExperienceN/ADegrees, Licensure, and/or CertificationListed as NA I with the Division of Facility Services with no substantiated findings of abuse, fraud, neglect or misappropriation of property. Listed as NA II with the North Carolina Board of Nursing.BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment.Knowledge, Skills, and AbilitiesWorking knowledge of sterile techniques and special procedures that are applicable to work performed.Working knowledge of procedures and techniques involved in administering routine and special treatments to patients.Working knowledge of principles and practices of providing nonprofessional bedside patient care.Working knowledge of sanitation, personal hygiene and basic health and safety precautions applicable to work in a hospital.Working knowledge of infection control procedures and safety precautions.Ability to withstand prolonged standing and walking.This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling and climbing all day. The employee must frequently lift or move objects and patients weighing over 35 pounds with assistance or appropriate lift equipment.Ability to understand and follow oral and written instructions.Ability to document and communicate pertinent information using computer and/or paper documentation tools.Ability to establish and maintain effective working relationships with patients and hospital staff.Working knowledge of the organization and physical layout of the hospital.Pre-employment Physical Capacity Testing may be required.Distinguishing Characteristics of this LevelN/AJob Title:NURSING CARE ASST II/HEALTH UNIT COORDJob Code:4592FLSA:NJob Level:C2Revised Date:01/30/2023Duke University 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 FunctionsCertain jobs at Duke University and Duke University Health System may include essential job 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.

Duke Health Integrated Practice is an exceptional, multi-specialty physician practice encompassing 140 clinics across North Carolina. We attract and retain premier medical professionals with competitive compensation, benefits, and a nurturing work atmosphere that unites passion and purpose.Learn more about us:https://dhip.dukehealth.org/about-usJOB LOCATIONDuke GI-Endoscopy of Raleigh - 3300 Executive Drive JOB SUMMARYWe are seeking a Clinical Operations Supervisorto directly supervise sterile processing personnel during specified shifts, facilitating staff and departmental efficiencies while monitoring the clinic's daily operations to ensure that appropriate quality and productivity levels are achieved the appropriate supplies and equipment are ordered and maintained. Ensures compliance with infection control policies and AAMI, AORN, and Joint Commission standards.Assures compliance with infection control and sterilization standards, ensuring that sterilization practices and all equipment used for decontamination and sterilization meet quality standards. Assists staff with performance improvement. Supervisory responsibilities include staff selection, orientation/onboarding, performance evaluation, counseling, and staff development.JOB DUTIES AND RESPONSIBILITIESSchedules and supervises the work of assigned staff to ensure smooth workflow in the department. Schedules staff in accordance with department needs. Acts as a knowledge resource to staff in matters of department processes, technical skills, equipment, supplies and/or regulatory requirements.Selects, trains and manages the performance of staff. Provides daily direction to staff. Sets goals for individuals and for the team. Acts as a mentor and coach and provides development and growth opportunities for staff.Coordinate and maintain departmental workflow in decontamination, the inspection of instruments/trays, cleaning, assembling and packaging of surgical instruments, medical/surgical materials/supplies and equipment.Monitors inventory of supplies and equipment. Coordinate procurement and stocking activities. Analyze usage patterns of supplies and recommend optimal par levels. Assists in developing goals, targets and action plans.Facilitates timely ordering of instrumentation and supplies. Identifies opportunities for cost reduction and expense control. Provides management with information for forecasting future instrumentation/equipment needs. Track and document lost or damaged equipment and supplies.Identifies opportunities to improve work processes and enable achievement of goals in quality, productivity and customer satisfaction. Provides a forum for staff involvement in problem identification and resolutions. Develops and implements solutions to address opportunities to improve quality, safety, efficiency and productivity.Oversight for the cleaning, decontamination, assembly, maintenance and preventative maintenance, and high-level disinfection of all reusable medical instrumentation.Participates in the cleaning, decontaminates, assembles, and disinfects scope trays and equipment following established tray lists and manufactures recommendations as needed.JOB ELIGIBILITY REQUIREMENTSWork requires a bachelor's degree in biology, physiology, psychology or related scientific field.Work requires four years of clinical technical experience to gain expertise in the principles, theories, procedures and equipment in the Endoscopy field. Prefer high level disinfection experience and supervisory experience.Current certification as a Sterile Processing Technician through an accredited organization (CRCST - Certified Registered Central Service Tech, HSPA, or Certified Sterile Processing and Distribution Technician CBSPD) required.JOB HOURSThe schedule for this position is day shifts, Monday-Friday, with no weekends or holidays.Job Code: 00005025 CLINICAL OPERATIONS SUPERVISORJob Level: F2Some roles within our organization may encompass essential job functions requiring distinct physical and/or mental capabilities. Further details and accommodation requests will be addressed by individual hiring departments.Duke Health Integrated Practice is dedicated to Equal Opportunity Employment, fostering a diverse workforce without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.We aspire to build a community grounded in collaboration, innovation, creativity, and belonging. Our shared achievements rely on a dynamic exchange of ideas, flourishing best when a multitude of perspectives, backgrounds, and experiences thrive. Upholding these values is a collective responsibility within our community.This job description aims to outline representative responsibilities for this title, not an exhaustive account of specific duties. Employees may be assigned job-related tasks beyond those explicitly outlined here.

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.About Duke Primary CarePursue your passion for caring with Duke Primary Care, which offers family, adolescent, and internal medicine services as well as urgent, general pediatric, and virtual care at nearly 50 clinic locations across central North Carolina. Duke Nursing Highlights: Duke University Health System is designated as a Magnet organizationNurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.Duke University Health System has 6000 + registered nursesQuality of Life: Living in the Triangle!Relocation Assistance (based on eligibility) PARAMEDIC- Duke Urgent CareLocation: Knigh tdale Work PerformedN/AKnowledge, Skills and AbilitiesPer form other related duties incidental to the work described herein.Level Characteristicsactivities.Working knowledge of procedures andtechniques involved inAbility to assess nursing needs of acute and chronically ill patientsfollow-upWorking knowledge of infection control procedures and s afetyParticipate in own professional development by maintaining required Ability to use sensory and cognitive functions to process andCompetent i n BLS and/or other specialized life support requirementstoolsadministeri ng routine and specialKnowledge of and appropriate application of the nu rsing processand their familiesprioritize information, treatment, andAbi lity to use fine motor skillsKnowledge of scope of the registered nurse, licensed practical nurseevaluation of patient statusAbilityto record ac tivities, document assessments, plan of care,unlicensed care providers.A bility to navigate the entity to provide clinical care forpatientsDelega te tasks and supervise the activities of other licensed andMonitor and i nitiate corrective action to maintain the environment ofAbility to indep endently seek out resources and workcollaborativelyIndependently plan a nd provide professional nursing care for patientsAbility to remain focus ed and organizedAbility to document and communicate pertinent informatio n usingOcc Summarymaterial resources.interventions, evaluation and re-needs and seeking appropriate assistance or educational offerings.competen cies, identifying learningorganizationdesignated by work area orpersonne lpatients, families, visitors,healthcare team, physicians,administrators , leadership and otherspolicies andprocedures.computer and/or paper doc umentationAbility to use the computer and learn new software programsAss ist other nursing personnel in the delivery of patient care andCollect a nd analyze patient data, make recommendations for nursingcareserve as ateam leader.Plan, provide and document professional nursing care in ambu latorySupport the development of other staff and formallearners. Partici pateProvide nursing services to patients and families in accordance with Participate in clinic or entity level performance improvementcare, inclu ding equipment andand walking with the ability to moveor lift at least f ifty poundssupervision of the nurse manager, charge nurse or practice ma nager.treatments to ambulatory patientsprocess, in accordance with physi cian orders and established policiespractice and proceduressettings, uti lizing the nursingKnowledge of professional theory,effective working rel ationships Ability to communicate clearly withprecautions Working knowle dge andprovided, document and communicate appropriately nursing actions takencompletion of appropriate TJC and other regulatory requirementsby t he North Carolina Board of Nursing.and procedures, under theoperational and safety related performance improvement opportunities.and all unlicensed assistiveand patient responses.accordance with themedical and nursin g plans of care and establishedin accordance with thenursing plan of car ethe scope of the RN as definedAbility to establishand maintainplans, ev aluate nursing careAbility to withstand prolonged standingin ambulatory clinic settings inin the identification of clinical,Ability to teach pat ients and families Minimum Qualifications Education Successful completion of an NCOEMS approved Paramedic Course or a United States Department of Transportation (USDOT) centered course or similar approved Paramedic Course. Experience Level I - Paramedic One year experience in relevant clinical areas required, Paramedic experience preferred. Level II - Life Flight Advanced Life Support Paramedic One year ALS Paramedic experience required, preferred two to three years prehospital experience with a moderate call volume (>15,000 calls/year) 911 agency. Level III - LifeFlight Critical Care Paramedic Minimum of three years and current ALS experience as a Paramedic in emergency setting with a moderate to high call volume 911 agency (20,000 to 35,000 calls/year) Obtain FP-C within 2 years of hire. Weight Standards policy Degrees, Licensures, Certifications Current certification as a North Carolina Paramedic required for all Level I Level II levels. BLS, ACLS, and PALS required. (Must obtain within 6 months if working in a hospital based department) Current trauma course preferred: PHTLS, BTLS or ITLS Applies to Life Flight Paramedic only BLS, ACLS, and PALS, required. ITLS (or PHTLS) preferred upon hire. If not, will need to acquire within the first year. NRP required within6 months of hire. North Carolina Emergency Vehicle Driver certification or comparable. Current Class C driver's license Current three (3) year driving history absent of violations Level III Applies to Life Flight Paramedic only Satisfy all requirements of Level II Neonatal Resuscitation Provider (NRP) required CCP-C or FP-C certification required. PHTLS certification required within 1 year of hire. Specialty certification, i.e., FP-C, or CCEMTP required within 2 years of hire date if Paramedic is new to SCT transport Obtain TPATC within 24 months of hire 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 ideasan 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.

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.About Duke Primary CarePursue your passion for caring with Duke Primary Care, which offers family, adolescent, and internal medicine services as well as urgent, general pediatric, and virtual care at nearly 50 clinic locations across central North Carolina. Duke Nursing Highlights: Duke University Health System is designated as a Magnet organizationNurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.Duke University Health System has 6000 + registered nursesQuality of Life: Living in the Triangle!Relocation Assistance (based on eligibility) Paramedic- Duke Urgent CareOcc SummaryThe Paramedic functions as an integral member of the interdiscipl inaryhealthcare team providing direct patient care. The Paramedic perfo rms avariety of activities across various practices settings and patient populations in accordance with the Paramedic scope of practice asdefined by the North Carolina Medical Board and with the approval of thepractic e setting Medical Director.Work PerformedResponsi ble for providing direct patient care in accordance with theParamedic sc ope of practice as defined by the North Carolina MedicalBoard under the medical oversight of the Medical Director of thepractice setting where t he individual will function.Assistsclinical staff in the evaluation, tr eatment and care ofpatients. Obtains pertinent history and performs a ph ysical examination.Performs technical procedures as delegated.Monitors p atients and maintains records using patient monitoring systemand electro nic health records. Documents patients' status, delivery ofcare and eval uation of the patients' response to care according tospecific procedures and established protocols.Documents and maintains an informative and ac curate medical record toinitiate charges for each patient treated.Commun icates in a professional manner essential information to allappropriate members of the healthcare team to promote sharing ofinformation througho ut the continuum of care.Operates extensive medical and mechanical equipment in the hospital andtransport environment. Ensures all medical equi pment is functioning;restocks medical supplies as needed.Provides and ma intains a safe and therapeutic environment for thepatients, visitors, an d staff. Properly disposes of and handles asapplicable, sharps, soiled m aterials, and linens and disinfects area inaccordance with policy and po licy as applicable. Properly uses PPE whenin contact with patients, soil ed utility, hazardous materials inaccordance with policy.Act as precepto r and support the development of other staff and formallearners.Particip ate in the identification of clinical or operational performanceimprovem ent opportunities and in performance improvement activities.Supports an environment of evidence-based practice/research/qualityimprovement initi ativesMaintain certifications and clinical skills.Performs other related duties incidental to the work described herein.Level II - Life Flight A dvanced Life Support ParamedicComplete vehicle inspection and documentation each shift and complete aroad test of assigned ambulance(s). Respons ible for minor repairs to theunit to include but not limited to: changin g light bulbs, replenishingfluids, tightening nuts and bolts, inspecting tires, etc. Responsiblefor daily maintenance including fueling and clea ning of vehicle.Responsible for reporting minor and major repair needs t o the sitespecific Fleet Safety Coordinator, Clinical Team Lead, and/or ProgramManager.Responsible for assisting with patient care as requested to includeloading and unloading, operation of commonly used equipment an dproviding family members information/directions to Duke.Responsible for providing direct patient care on ALS I, ALS II or BLStransports, not to exceed beyond the scope of The Paramedic as definedby the NCOEMS and ap proved by local medical direction, and documentingin the electronic medi cal record.Responsible for replenishing oxygen and medical supplies used duringtransport.Demonstrates safe driving skills and ability to use tec hnology tocomplete missions safely.Assist with continuing education outr each programs and public relationsevents as assigned.Provide staffing co verage to all bases as needed. Assist units withinDuke University Hospit al when necessary.Level III - Life Flight Critical Care ParamedicPerform all responsibilities specified for Life Flight Level II.Obtain pertinen t history and perform a physical examination based oncomprehensive knowl edge, advanced skills and sound professionaljudgement. Obtain historical data from an environmental survey,attending medical personnel, patient or significant other, and existingdocumentation.Complete a systematic, r apid primary assessment and a prioritizedsecondary survey. Analyze and a ssess available diagnostic data. Reviseplan of care as new information b ecomes available.Provide care in a critical care environment utilizing a ppropriate,timely interventions, per program protocols, in a priority se quencewithin scope of practice not to exceed standards set by the NorthC arolina office of EMS (NCOEMS) and local medical direction.Utilize Advan ced Skills prioritizing the patient's needs based onpotential or actual needs. (I.e. intubation, Rapid Sequence Intubation,needle decompression of tension pneumothoraces, percutaneouscricothryoidotomy, placement of i ntraosseous and central line).Demonstrates proficient use of advanced an d basic life support equipmentand maintains contact with Medical Control when necessary for protocoldeviation.Communicate essential information to all appropriate members of thehealthcare team. Evaluate patient progr ess, analyze data, and modify theplanning and implementation of care bas ed on patient response throughoutthe transfer process.Communicate betwee n referring and receiving healthcare professionals toensure continuity o f care. Act as a liaison between patients, families,referring healthcare professionals and DUHS staff.Plan, organize and maintain equipment and supplies for use before,during and after transport. Perform inventory of transport vehicle everyshift with restocking after each transport. Plan for special equipmentneeds for each transport. (I.e. external pacemaker , intravenous infusionpumps, intra-aortic balloon pump, isolette, baby p od). Maintainequipment repair as needed.Performs intubations (nasal, end otracheal), RSI, and needledecompression of tension pneumothoraces, perc utaneous cricothyroidotomy,central line placement (EJ), and intraosseous line placement.Provide and maintain a safe environment for fellow crewm embers, thepatients, assisting agencies, and ancillary personnel.Formula te research studies as needed.Knowledge, Skills and Abilit iesKnowledge of and appropriate application Paramedic scope of practiceKnowledge of professional theory, practice and procedure Ability toassess needs of acute and chronically ill patients and their families Ability to independently seek out resources and work collaborativelyAbil ity to establish and maintain effective working relationshipsAbility to communicate clearly with patients, families, visitors,healthcare team, p hysicians, administrators, leadership and othersAbility to use sensory a nd cognitive functions to process and prioritizeinformation, treatment, and follow-up Ability to use fine motor skillsAbility to record activiti es, document assessments, plan of care,interventions, evaluation and re- evaluation of patient status Ability touse computer and learn new softwa re programs Able to document andcommunicate pertinent information using computer and/or paperdocumentation tools Ability to withstand prolonged standing and walkingAbility to remain focused and organized Working know ledge of proceduresand techniques involved in administering routine and special treatmentsto patients Working knowledge of infection control pro cedures and safetyprecautions Pre-employment Physical Capacity Testing R equired Must SpeakEnglish in good, understandable terms Participate in o wn professionaldevelopment by maintaining required competencies, identif ying learningneeds and seeking appropriate assistance or educational off erings.Critical thinking and ability to concentrate Must be able to resp ondquickly to changes in patient and/or unit conditionsLevel II and III: Operating knowledge of ambulance/fire truck or vehicle equivalent to the Duke Life Flight ambulances. Physical Requirements Work requireswalking, standing, sitting, lifting, reaching, stooping, bending,knelling, crouc hing/squatting, balancing, and pulling. Ability towithstand prolonged st anding and walking. Must be able to lift andsupport the weight up to 75 pounds in handling patients, medicalequipment, and supplies. Intact sens e of sight, hearing, smell, andtouch. Finger dexterity. Bimanual Dexteri ty: Requiring the use of bothhands.Life Flight:Level II:Vision must be 2 0/40 corrected. Successful completion of post offer jobtesting for physi cal fitness.Level IIIMeet Level II requirements Physically fit to allow for functionalmovement in an aircraft or ambulance and the ability to we ar the Dukeapproved helmet. Max weight 240 pounds fully outfitted for ai r crew. Maxheight 6'4" for air crew-See Weight Standards policy The transportenvironment may be indoors or outdoors in any type of weather. The airambulance (rotor wing or fixed wing) is noisy, may experience ex haustfumes. High and low frequency vibrations are present requiring hear ingprotection/helmet. Minimum Qualifications Education Successful completion of an NCOEMS approved Paramedic Course or a United States Department of Transportation (USDOT) centered course or similar approved Paramedic Course. Experience Level I - Paramedic One year experience in relevant clinical areas required, Paramedic experience preferred. Level II - Life Flight Advanced Life Support Paramedic One year ALS Paramedic experience required, preferred two to three years prehospital experience with a moderate call volume (>15,000 calls/year) 911 agency. Level III - Life Flight Critical CareParamedic Minimum of three years and current ALS experience as a Paramedic in emergency setting with a moderate to high call volume 911 agency (20,000 to 35,000 calls/year) Obtain FP-C within 2 years of hire. Weight Standards policy Degrees, Licensures, Certifications Current certification as a North Carolina Paramedic required for all Level I Level II levels. BLS, ACLS, and PALS required. (Must obtain within 6 months if working in a hospital based department) Current trauma course preferred: PHTLS, BTLS or ITLS Applies to Life Flight Paramedic only BLS, ACLS, and PALS, required. ITLS (or PHTLS) preferred upon hire. If not, will need to acquire within the first year. NRP required within 6 months of hire. North Carolina Emergency Vehicle Driver certification or comparable. Current Class C driver's license Current three (3) year driving history absent of violations Level III Applies to Life Flight Paramedic only Satisfy all requirements of Level II Neonatal Resuscitation Provider (NRP) required CCP-C or FP-C certification required. PHTLS certification required within 1 year of hire. Specialty certification, i.e., FP-C, or CCEMTP required within 2 years of hire date if Paramedic is new to SCT transport Obtain TPATC within 24 months of hire 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 ideasan 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.