Physician Assistant

Downieville Fire Protection District

Duty Statement / Expectations

PA/NP EMS Responder/Urgent Care/Firefighter/EMS Administrator

TWO RIVERS RUN THROUGH IT

Downieville Volunteer Fire Department seeks a Resident PA/NP/ EMS Practitioner to serve as a Field Responder/Urgent Care and EMS Operations Manager as well as have an interest in Community Paramedicine. Responsibilities include responding to both Ambulance and Fire 911 calls, assisting with Urgent Care, responding to Public Health emergencies, Day-to-Day Ambulance Management including office administration, budget, training and teaching EMTs. Hours are 5 days per week, plus call. Additional compensation for after-hours calls and EMS teaching.

There is an expectation of responding to calls if you are in the community during your off hours. This person would work with a highly trained volunteer team of EMRs, EMTs, AEMTs, Paramedic and Firefighters to provide BLS and ALS & Urgent Care in western Sierra County. The small town of Downieville is located in Tahoe National Forest and has long been a popular area for outdoor recreation. The response area includes Sierra City and the 500 square miles of forests on the west side of the Yuba Pass. Today it is a mecca for mountain bikers.

Ideal candidates should have 3 years’ experience in emergency medicine and 1 year in admin/operations and grant management. Must be proficient with electronic medical records and Microsoft Office.

Job Type: Full-time. Live and work in Downieville, CA. Transitional housing available.
Salary: $122,000 per year plus health insurance and housing stipend.

Required License and certification:

· California PA or NP
· CDL
· CPR, ACLS and PALS

As a valued member of the Downieville Fire Department, you make it possible for the team to provide the highest level of service possible with the available resources. You will be expected to be courteous and professional by treating others fairly, honestly and with respect. You will actively promote safety and set the example promoting ethical conduct and avoiding questionable behavior. Through these efforts you will inspire the respect and confidence of your team members, supervisors, other agencies, and those we serve. Your conduct, weather actual or perceived, directly affects the image of yourself, your co-workers and the Department. The expectation is that you will show a genuine concern for those you work alongside as well at the patients we treat. Advocating the Departments goals and Values by helping in the development of a new more flexible EMS system.

Under the Direction of the Medical Director & Fire Chief the incumbent shall:

• 80% Provide emergency medical care to the sick and injured. Urgent care to community residents or visitors when the medical clinic is not available.
• 10% Perform administrative activities including PCR review and finalization, reporting to the bookkeeper, payroll info on a timely basis. Keeping an open line of communication with NORCAL and Intermedix, actively participate oversee, or provide, monthly training and CE documentation as well as quarterly run review. Inventorying, stocking, Expiration date checking and vehicle pre-operation checks.
• 5% Teaching, training EMS staff and meet continuing education needs. Provide community training needs such as CPR. Facilitating EMR, EMT and AEMT Courses for community volunteers.
• 5% Engage in activities such as fundraisers and community events such as: Senior citizens activities, first aid stations during bike race, 4thof July and other holiday activities and other events consistent with community outreach and visibility of EMS Resources.

The duties of a EMS PA/NP include the following:

• Help to resuscitate patients in an emergency before hospital admission
• Provide medical assistance during emergency situations, such as CPR, AED, prevent shock, control severe bleeding, prevent spinal damage, etc.
• Administer intravenous medications, drips, and oxygen
• Perform endotracheal intubations
• Evaluate a patient’s condition to determine the right course of treatment
• Monitor patient’s condition and keep it stable while in route to the hospital
• Aid in the transfer of patients to the emergency units of hospitals or medical helicopters.
• Help to calm down the family members of the victim and the public on scene
• Create a patient care report and take notes of the medical treatment given to the patient
• Keep the equipment clean after use; check and replace damaged and used supplies
• Decontaminate the interior of the ambulance if used to transport a patient suffering from a contagious disease.
• EMS PA/NPs give immediate response to 911 calls. As the first healthcare provider at the scene of emergency situations, they collaborate with firefighters and police in evaluating the situation. They attend emergencies from minor injuries to severe casualties arising from accidents, fires, natural disasters, criminal violence, and other incidents. Ambulances usually have two or more crewmembers, which include a paramedic and an emergency medical technician. Nowadays, ambulance vehicles are equipped with many high-tech devices resembling those found in the emergency department of a hospital, such as electrocardiograms (EKGs), automated external defibrillator (AED), Field Ultrasonography and Video Assisted Intubation Devices.
• EMS PA/NP’s duty when they first arrive at the scene is to properly assess the patient’s condition and to quickly determine the course of action necessary to stabilize the patient. This assessment includes a head-to-toe survey and the ABC of Emergency Medicine (airway, breathing, and circulation). EMS PA/NPs then take the patient to the hospital via an ambulance while making sure the patient’s condition is stable during the ride. They use specialized equipment called backboards, which immobilizes the patient before they are placed on a stretcher for secure transport. In many cases, this initial assessment and treatment is crucial to the survival of the patient. Being a paramedic can be stressful and requires the ability to handle a great deal of responsibility, especially when an individual’s life is in their hands.

Job Types: Full-time, Contract

Pay: From $122,000.00 per year

Job Type: Full-time

Pay: $122,000.00 per year