Adult Emergency Department Paramedic PRN

Emergency Services 10 201210
 Nashville, TN


Independently works off assessment skills to activate patient care protocols to deliver patient care within the Tennessee paramedic scope of practice within the defined Vanderbilt paramedic scope of practice. Responsible for triage care in the field as well as the Emergency Department. Responsible for effective communication to ensure safe and quality patient care in paramedic team, transport and handover.


  • Actively participates with other members of the healthcare team to provide direct patient care.
  • Transports patients via various modes of transportation while providing quality ALS and Critical Care management to all ages.
  • Responds to emergency requests within Vanderbilt, Vanderbilt sponsored or other contracted events.
  • Utilizes the problem solving model to independent resolve patient problems and follow through with HCT to implement solutions.
  • Identifies patient and unit problems and finds solutions to resolve problems and follows through to implement solutions.
  • Effectively communicates patient handover to the health care team.
  • The responsibilities listed are a general overview of the position and additional duties may be assigned.

Department/Unit Summary

The Adult Emergency Room is the Level 1 Trauma Center for Middle Tennessee with 88 treatment areas including four trauma bays. We are one of the busiest emergency rooms in the country and see 69,000 patients annually. We have the ability to quickly diagnose through our use of two CT scanners and an x-ray machine for the Adult ER. We are a Comprehensive Stroke Center, Accredited Chest Pain Center, and the Designated Level 1 Burn Center for the region.

Position Shift : Variable (Days, Nights and Mid shifts available)

Paramedic needs to work minimum of 4, twelve hour shifts in every 6 week schedule.

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Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care,VUMCis a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded and your abilities challenged. It is a place where your diversity — of culture, thinking, learning and leading — is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday.Vanderbilt’smission is to advance health and wellness through preeminent programs in patient care, education, and research.

VUMC Recent Accomplishments

Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:

·US News & World Report:#1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children’s Hospital at Vanderbilt named as one of the Best Children’s Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.

·Healthcare’s Most Wired:Among the nation’s 100 “most-wired” hospitals and health systems for its efforts in innovative medical technology.

·Becker’s Hospital Review:named as one of the “100 Great Hospitals in America”, in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.

·The Leapfrog Group:One of only 10 children’s hospitals in the to be named at Leapfrog Top Hospital.

·American Association for the Advancement of Science:The School of Medicine has 112 elected fellows

·Magnet Recognition Program:Received our third consecutive Magnet designations.

·National Academy of Medicine:22 members, elected by their peers in recognition of outstanding achievement

·Human Rights Campaign Healthcare Equality Index:6thyear in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.


AIRWAY ESTABLISHING (FUNDAMENTAL AWARENESS):- Has limited experience, training, direct exposure, or past experience working with airway establishing.

CRITICAL THINKING - (NOVICE):- Displays clarity, accuracy, precision, consistency, relevance, and sound evidence in the successful completion of tasks and projects. Demonstrates rational and disciplined thought as manifested in results.

PROCEDURES KNOWLEDGE (FUNDAMENTAL AWARENESS):- Has limited experience, training, direct exposure, or past experience working with procedures knowledge.

ASSESSING, INTERVENING & STABILIZING PATIENTS (FUNDAMENTAL AWARENESS):- Has limited experience, training, direct exposure, or past experience working with assessing, intervening and stabilizing patients.

MEDICATION MANAGEMENT - (FUNDAMENTAL AWARENESS):- Has limited experience, training, direct exposure, or past experience in assessing, identifying, and prioritizing medication related problems including: determining the clinical appropriateness of each medication taken by the patient, determining the appropriateness of the dose, dosage form, indication, contraindications, potential adverse effects and potential problems with concomitant medications, monitoring for therapeutic duplication or other unnecessary medications, interpreting, monitoring and assessing patient's laboratory results as they relate to medication therapy and providing drug information to other healthcare professionals, patients and their families.


  • Organizational Impact: Performs non-routine tasks that significantly impact team's performance with minimal guidance.
  • Problem Solving/ Complexity of work: Conducts research and analysis to solve some non-routine problems.
  • Breadth of Knowledge: Applies broad job knowledge and has basic job skills in other areas.
  • Team Interaction: Provides informal guidance and support to less experienced team members.



  • - Develops Self and Others: Continuously improves own skills by identifying development opportunities.
  • - Builds and Maintains Relationships : Seeks to understand colleagues' priorities, working styles and develops relationships across areas.
  • - Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner.


  • - Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service.
  • - Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns to supervisors in a timely manner.
  • - Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support.


  • - Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards .
  • - Ensures Continuous Improvement: Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and beyond.
  • - Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department.


  • - Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service.
  • - Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources.
  • - Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error.


  • - Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them.
  • - Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action.
  • - Adapts to Change: Embraces change by keeping an open mind to changing plans and incorporates change instructions into own area of work.


  • High School Diploma/GED
  • Current TN Paramedic license (EMTP) required
  • 1 year of experience.
  • BLS required, ACLS, PALS and PHTLS are preferred.

Licensure, Certification, and/or Registration (LCR):

  • Licensed Paramedic Required

Additional Qualification Information:

  • Certification in BLS, ACLS, PALS, PHTLS/ITLS, EVOC and NRP; Additional job requirements include: 1. Medical crew members must be able to twist, bend and provide patient care in confined spaces. 2. Must be able to tolerate stressors of transport, including, but not limited to, excessive motion, vibration, and extreme temperatures. 3. Must maintain weight so as to fit into the seat belts / shoulder harnesses as provided by the aircraft or ambulance manufacturer without modification to those safety devices.

Physical Requirements/Strengths needed & Physical Demands:

  • Heavy Work category requiring exertion of 50 to 100 lbs. of force occasionally and/or up to 20 to 50 lbs. of force frequently and/or up to 10 to 20 lbs. of force continually to move objects.


  • Occasional: Sitting: Remaining in seated position
  • Occasional: Carrying over 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
  • Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles
  • Occasional: Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms.
  • Occasional: Kneeling:Bending legs at knees to come to rest on knee or knees.
  • Occasional: Crouching/Squatting: Bending body downward and forward by bending legs and spine.Reaching above shoulders: Extending arms in any direction above shoulders.
  • Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.
  • Frequent: Standing: Remaining on one's feet without moving.
  • Frequent: Walking: Moving about on foot.
  • Frequent: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
  • Frequent: Lifting over 35 lbs: Raising and lowering objects from one level to another, includes upward pulling over 35 lbs, with help of coworkers or assistive device
  • Frequent: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
  • Frequent: Push/Pull: Exerting force to move objects away from or toward.
  • Frequent: Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching or maneuvering self, patient and equipment simultaneously while working in large and small spaces
  • Frequent: Reaching below shoulders: Extending arms in any direction below shoulders.
  • Frequent: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
  • Frequent: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.
  • Frequent: Bimanual Dexterity: Requiring the use of both hands.


  • Frequent: Communication: Expressing or exchanging written/verbal/electronic information.
  • Continuous: Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information
  • Continuous: Vision: Clarity of near vision at 20 inches or less and far vision at 20 feet or more with depth perception, peripheral vision, color vision.
  • Continuous: Smell: Ability to detect and identify odors.
  • Continuous: Feeling: Ability to perceive size, shape, temperature, texture by touch with fingertips.

Environmental Conditions

  • Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.
  • Occasional: Climate: Ability to withstand exposure to atmospheric extremes including heat, cold, humidity, and barometric pressure changes.
  • Frequent: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.