Paramedic - Emergency Department - PRN
Company: Duke Health
Location: Mooresville
Posted on: June 15, 2026
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Job Description:
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.
Duke Health Lake Norman Hospital
Pursue your passion for caring with Duke Health Lake Norman
Hospital in Mooresville, North Carolina. The smallest of the four
Duke Health hospitals at 123-beds, it offers a comprehensive range
of medical services, including 24-hour emergency care, cardiology,
orthopedics, women's services, and surgical specialties.
Duke Nursing Highlights:
Job Summary
The Paramedic functions as an integral member of the
interdisciplinary healthcare team providing direct patient care.
The Paramedic performs a variety of activities across various
practices settings and patient populations in accordance with the
Paramedic scope of practice as defined by the North Carolina
Medical Board and with the approval of the practice setting Medical
Director.
Work Performed
Responsible for providing direct patient care in accordance with
the Paramedic scope of practice as defined by the North Carolina
Medical Board under the medical oversight of the Medical Director
of the practice setting where the individual will function. Assists
clinical staff in the evaluation, treatment and care of patients.
Obtains pertinent history and performs a physical examination.
Performs technical procedures as delegated. Monitors patients and
maintains records using patient monitoring systems and electronic
health records. Documents patients' status, delivery of care and
evaluation of the patients' response to care according to specific
procedures and established protocols. Documents and maintain an
informative and accurate medical record to initiate charges for
each patient treated. Communicates in a professional manner
essential information to all appropriate members of the healthcare
team to promote sharing of information throughout the continuum of
care. Operates extensive medical and mechanical equipment in the
hospital and transport environment. Ensures all medical equipment
is functioning; restocks medical supplies as needed. Provides and
maintains a safe and therapeutic environment for the patients,
visitors, and staff. Properly disposes of and handles as
applicable, sharps, soiled materials, and linens and disinfects
area in accordance with policy and policy as applicable. Properly
uses PPE when in contact with patients, soiled utility, hazardous
materials in accordance with policy. Act as preceptor and support
the development of other staff and formal learners. Participate in
the identification of clinical or operational performance
improvement opportunities and in performance improvement
activities. Supports an environment of evidence-based
practice/research/quality improvement initiatives Maintain
certifications and clinical skills. Performs other related duties
incidental to the work described herein. Level II - Life Flight
Advanced Life Support Paramedic Complete vehicle inspection and
documentation each shift and complete a road test of assigned
ambulance(s). Responsible for minor repairs to the unit to include
but not limited to changing light bulbs, replenishing fluids,
tightening nuts and bolts, inspecting tires, etc. Responsible for
daily maintenance including fueling and cleaning of vehicles.
Responsible for reporting minor and major repair needs to the
site-specific Fleet Safety Coordinator, Clinical Team Lead, and/or
Program Manager. Responsible for assisting with patient care as
requested to include loading and unloading, operation of commonly
used equipment and providing family members information/directions
to Duke. Responsible for providing direct patient care on ALS I,
ALS II or BLS transports, not to exceed beyond the scope of The
Paramedic as defined by the NCOEMS and approved by local medical
direction, and documenting in the electronic medical record.
Responsible for replenishing oxygen and medical supplies used
during transport. Demonstrates safe driving skills and ability to
use technology to complete missions safely. Assist with continuing
education outreach programs and public relations events as
assigned. Provide staffing coverage to all bases as needed. Assist
units within Duke University Hospital when necessary. Level III -
Life Flight Critical Care Paramedic Perform all responsibilities
specified for Life Flight Level II. Obtain pertinent history and
perform a physical examination based on comprehensive knowledge,
advanced skills and sound professional judgement. Obtain historical
data from an environmental survey, attending medical personnel,
patient or significant other, and existing documentation. Complete
a systematic, rapid primary assessment and a prioritized secondary
survey. Analyze and assess available diagnostic data. Revise plan
of care as new information becomes available. Provide care in a
critical care environment utilizing appropriate, timely
interventions, per program protocols, in a priority sequence within
scope of practice not to exceed standards set by the North Carolina
office of EMS (NCOEMS) and local medical direction. Utilize
Advanced Skills prioritizing the patient's needs based on potential
or actual needs. (I.e. intubation, Rapid Sequence Intubation,
needle decompression of tension pneumothoraxes, percutaneous
cricothyrotomy, placement of intraosseous and central line).
Demonstrates proficient use of advanced and basic life support
equipment and maintains contact with Medical Control when necessary
for protocol deviation. Communicate essential information to all
appropriate members of the healthcare team. Evaluate patient
progress, analyze data, and modify the planning and implementation
of care based on patient response throughout the transfer process.
Communicate between referring and receiving healthcare
professionals to ensure continuity of care. Act as a liaison
between patients and families, referring to healthcare
professionals and DUHS staff. Plan, organize and maintain equipment
and supplies for use before, during and after transport. Perform
inventory of transport vehicle every shift with restocking after
each transport. Plan for special equipment needs for each
transport. (I.e. external pacemaker, intravenous infusion pumps,
intra-aortic balloon pump, isolette, baby pod). Maintain equipment
repair as needed. Performs intubations (nasal, endotracheal), RSI,
and needle decompression of tension pneumothoraxes, percutaneous
cricothyroidotomy, central line placement (EJ), and intraosseous
line placement. Provide and maintain a safe environment for fellow
crewmembers, the patients, assisting agencies, and ancillary
personnel. Formulate research studies as needed.
Knowledge, Skills and Abilities
Knowledge of and appropriate application Paramedic scope of
practice Knowledge of professional theory, practice and procedure
Ability to assess needs of acute and chronically ill patients and
their families Ability to independently seek out resources and work
collaboratively Ability to establish and maintain effective working
relationships Ability to communicate clearly with patients,
families, visitors, healthcare team, physicians, administrators,
leadership and others Ability to use sensory and cognitive
functions to process and prioritize information, treatment, and
follow-up Ability to use fine motor skills Ability to record
activities, document assessments, plan of care, interventions,
evaluation and re-evaluation of patient status Ability to use
computer and learn new software programs Able to document and
communicate pertinent information using computer and/or paper
documentation tools Ability to withstand prolonged standing and
walking Ability to remain focused and organized Working knowledge
of procedures and techniques involved in administering routine and
special treatments to patients Working knowledge of infection
control procedures and safety precautions Pre-employment Physical
Capacity Testing Required Must Speak English in good,
understandable terms Participate in own professional development by
maintaining required competencies, identifying learning needs and
seeking appropriate assistance or educational offerings. Critical
thinking and ability to concentrate Must be able to respond quickly
to changes in patient and/or unit conditions Level II and III:
Operating knowledge of ambulance/fire truck or vehicle equivalent
to the Duke Life Flight ambulances. Physical Requirements Work
requires walking, standing, sitting, lifting, reaching, stooping,
bending, knelling, crouching/squatting, balancing, and pulling.
Ability to withstand prolonged standing and walking. Must be able
to lift and support the weight up to 75 pounds in handling
patients, medical equipment, and supplies. Intact sense of sight,
hearing, smell, and touch. Finger dexterity. Bimanual Dexterity:
Requiring the use of both hands. Life Flight: Level II: Vision must
be corrected 20/40. Successful completion of post offer job testing
for physical fitness. Level III Meet Level II requirements
Physically fit to allow for functional movement in an aircraft or
ambulance and the ability to wear the Duke approved helmet . click
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Keywords: Duke Health, Rock Hill , Paramedic - Emergency Department - PRN, Healthcare , Mooresville, South Carolina
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