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Provides leadership, consultation and collaboration with the director and other members of the health care team to design, evaluate and improve patient care systems and processes. Supports education and staff development through participation in research, education, informatics, quality and patient safety, professional development, and shared governance.

Overview:
The Clinical unit manager is responsible for overseeing the daily operations and clinical activities within DHART. Area of oversight includes coordinating and supervising clinical team members, ensuring high-quality patient care, and managing unit regulatory standards.

Responsibilities:
<ol><li> Evaluates and manages performance of staff members.</li><li> Provides leadership, consultation and collaboration with the director and other members of the health care team to design, evaluate and improve patient care systems and processes.</li><li> Assumes accountability for quality and regulatory directives.</li><li> Develops, implements, and evaluates unit and organizational policies, procedures, and goals. Provides input regarding operational and capital budgets for the unit.’</li><li> Manages the department schedule. Plans staffing and adjustments on a daily basis. Leads the hiring process for Flight Nurses and Flight Paramedics.</li><li> Supports education and staff development through participation in research, education, informatics, quality and patient safety, professional development, and shared governance.</li><li> Collaborates with the unit educator and medical direction team to educate, train, and develop staff to ensure competency and provide professional growth.</li><li> Administers clinical care to patients to maintain clinical skills. Maintains all clinical competencies of flight crew.</li><li> Provides DHART Leadership on Call coverage.</li><li> Performs other duties as required or assigned.</li></ol>

Qualifications:
<ul><li> Bachelor degree with 3 years of flight experience, preferred.</li><li> Master’s degree, preferred.</li><li> Maintains all requirements of DHART Clinical Critical care provider.</li><li> Must meet crew weight standard: 100 kilos or less, transport ready, in uniform.</li></ul>

Required Licensure/Certifications:
<ul><li> Licensed Registered Nurse or Paramedic in New Hampshire</li><li> Emergency Medical Technician (EMT) in NH or Emergency Medical Technician Advanced/Paramedic (AEMT/NRP) in NH .</li><li> Emergency Medical Technician (EMT) in VT or EMT Advanced/Paramedic (AEMT/NRP) in VT within 3 months of hire.</li><li> Nationally registered EMT, AEMT or NRP (NREMT).</li></ul>

Dartmouth-Hitchcock Health

DHART Clinical Manager, Dartmouth Health Advance Response Team (DHART)

[AW]-iCims

Required Licensure/Certifications: REQUIRED LICENSE(S): • Paramedic NH (EMT1002) • Emergency Medical Technician - NH (EMT1000) • Emergency Medical Technician Registration (NREMT)REQUIRED CERTIFICATIONS: • (BLS) Basic Life Support • (ACLS) Advanced Cardiac Life Support • (PALS) Pediatric Advanced Life Support Working with autonomy, Paramedics are responsible for patient care decisions, scene management, and ensuring high-quality clinical documentation.

Overview:
<div>The Paramedic functions as a primary provider of advanced prehospital emergency medical care and transportation. Working with autonomy, Paramedics are responsible for patient care decisions, scene management, and ensuring high-quality clinical documentation. This position demands critical thinking, physical endurance, and the ability to perform in high-stress environments, often with limited support.</div><ul><li>Not a remote eligible position</li><li>Non-Exempt position: Employees must be clocked in and physically present at the assigned station to be considered in work status.</li></ul>

Responsibilities:
Independent Clinical & Operational Functioning<ul><li>Provide unsupervised basic life support (BLS) and advanced life support (ALS) care.</li><li>Make autonomous decisions during assessment and treatment.</li><li>Operate in the ambulance independently as either a driver or patient care provider.</li><li>Perform additional responsibilities as required or assigned by leadership to support departmental operations, patient care initiatives, quality improvement, or organizational goals. Duties may vary depending on emergent needs, operational priorities, or evolving best practices</li></ul> Patient Assessment, Care & Documentation<ul><li>Perform comprehensive assessments.</li><li>Emergency Medical Care</li><li><ul><li>Administer medications, manage airways, and perform IV/IO access and cardiac monitoring.</li><li>Apply State of New Hampshire Patient Care Protocols, most recent version, for trauma, cardiac, respiratory, and medical emergencies.</li></ul></li><li>Non-Emergent/Transfer Medical Care</li><li><ul><li>Perform interfacility transports at all patient acuity levels BLS, ALS,  PIFT, and SCT.</li><li>Administer required care as dictated by patient acuity.</li></ul></li><li>Accurately document findings and interventions in electronic or paper formats.</li><li>Utilize the department’s designated electronic health record system (e.g., ImageTrend) to accurately document all patient encounters, including refusals and non-transports.</li><li>Accurately document findings and interventions in electronic or paper formats.</li></ul>Safe Transport of Patients<ul><li>Extricate patients from varied environments including confined spaces and wilderness areas.</li></ul><ul><li>Ensure safe and comfortable transportation, with continuous patient monitoring.</li></ul> Communication<ul><li>Relay clinical data to medical control and hospital staff.</li><li>Coordinate via radio and digital communication systems.</li></ul> Equipment & Vehicle Maintenance<ul><li>Perform daily checks of vehicles and equipment.</li><li>Restock and clean as required.</li></ul> Compliance & Protocol Adherence<ul><li>Follow EMS protocols and maintain licensure as defined by New Hampshire RSA 153-A and Saf-C 5900 rules.</li><li>Participate in quality assurance programs.</li><li>Complete all assigned requirements of both the department and the hospital.</li></ul> Professional Conduct<ul><li>Uphold patient and coworker confidentiality and demonstrate compassion at all times.</li></ul><ul><li>Maintain ethical standards and represent the department professionally to both internal and external stakeholders.</li><li>Engage in professional conduct that supports a culture of safety, mutual respect, and mental wellness.</li><li>Coordinate with fire, police, and other healthcare agencies as required.</li><li>Participate in MCIs, community events, and disaster drills.</li></ul>

Qualifications:
<div>Education & Training<ul><li>Maintain required certifications</li><li>NREMT-P</li><li>Emergency Medical Services Provider License</li><li>CPR</li><li>ACLS</li><li>PALS</li><li>Attend training sessions as required</li><li>Complete required department training/competencies</li></ul>Position Requirements<ul><li>Licensure/Certification: NREMT-Paramedic or equivalent state licensure, ACLS, PALS, BLS; CCP-C or FP-C preferred.</li><li>Experience: At least 2 years of  ALS field experience preferred.</li><li>Education: High school diploma/GED required; associate degree or higher preferred.</li><li>Other: Must have an unrestricted driver’s license; clean driving record.</li></ul><div>Physical Requirements<ul><li>Lifting: Must be able to lift 100 lbs. or more.</li><li>Mobility: No restrictions on grip strength, bending, climbing stairs, including moving up or down them backwards, or maneuvering equipment/patients in challenging environments.</li><li>Stamina: Must perform prolonged physical activities and maintain alertness during long shifts or stressful scenarios.</li></ul>Cognitive, Vision, Hearing, and Speech Requirements<ul><li>Ability to rapidly assess a variety of situations, make appropriate decisions applicable to state protocols, departmental policies etc.</li><li>Vision: Must have corrected or uncorrected vision sufficient to drive, read monitors, medication labels, and navigate challenging environments.</li><li>Hearing: Adequate hearing to detect alarms, communicate with dispatch and partners, and respond to emergency signals.</li><li>Speech: Clear and articulate verbal communication to coordinate with patients, families, and interagency personnel.</li></ul></div></div>

Required Licensure/Certifications:
<div>REQUIRED LICENSE(S):</div> • <div>Paramedic NH (EMT1002)</div> • <div>Emergency Medical Technician - NH (EMT1000)</div> • <div>Emergency Medical Technician Registration (NREMT)</div><div>REQUIRED CERTIFICATIONS:</div> • <div>(BLS) Basic Life Support</div> • <div>(ACLS) Advanced Cardiac Life Support</div> • <div>(PALS) Pediatric Advanced Life Support</div>

Paramedic - Ambulance

A typical day for a nurse would involve assisting in a fracture reduction for an adult skier injury, caring for a pediatric patient with uncontrolled asthma, managing a homeless victim found unresponsive in the snow in need of resuscitation, and caring for a cardiac arrest or stroke victim. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions.

Overview:
Our Emergency Department unit has 43 beds staffed by RN’s, LPN’s, Paramedics, EMT’s, and LNA’s. We are the only Level 1 Trauma Center in the state of NH and work closely with our system affiliates to accept patients requiring critical/neurological/cardiac/obstetrical/medical or trauma care. Our unit sees a large volume of referrals, transfers and trauma consults from outside facilities, and provides services for the local community. We see 31,000 patients annually to include neonates through geriatric populations in various states of health, often times with multiple diseases processes. Our nurses are trained for resuscitation, acute care, outpatient care, trauma care, mental health and are proceduralists delivering bedside moderate sedation. A typical day for a nurse would involve assisting in a fracture reduction for an adult skier injury, caring for a pediatric patient with uncontrolled asthma, managing a homeless victim found unresponsive in the snow in need of resuscitation, and caring for a cardiac arrest or stroke victim. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions.  We are seeking a paramedic with prior experience practicing in a hospital or emergency department setting.EVENING ROTATING SHIFTS:1p to 1a, 1a-1p, 3a-3p, 3p-3a (Part Time, 1 shift/week) 

Responsibilities:
Provides professional care to patients within the Emergency Department. Assesses, plans, organizes, provides, and evaluates care utilizing critical thinking skills. Makes judgments and decisions and assumes responsibility for care and documentation.<ol><li>Manages patients with individualized care by evaluating effectiveness/outcome of care, recognizing significant changes in patient condition, and modifying care based on clinical presentation.</li><li>Provides individualized care, recognizes and takes appropriate action for significant changes in patient conditions.</li><li>Evaluates effectiveness of care and makes necessary modifications to assist with optimal patient outcomes.</li><li>Establishes relevant, evidence-based and safe interventions and priorities when providing care, including administering of medications.</li><li>Collaborates effectively with patient, patient’s significant others, and members of the health care team to achieve optimal patient outcomes. Acts as a resource to peers, medical students, house officers, and other health care providers.</li><li>Communicates patient status through verbal, electronic, and written means with other health care providers, and takes appropriate action for patient well-being.</li><li>Observes patient to recognize care needs. Implements care/interventions directly when needed (physical, social or emotional) or indirectly by collaboration with other nursing team members, physicians or members of other health care disciplines.</li><li>Collaborates with colleagues to ensure patient and family involvement with discharge planning and the achievement of identified needs through teaching or referrals. Assumes responsibility for ensuring an integrated discharge planning process.</li><li>Identifies and offers solutions to patient care delivery issues through quality improvement, continuing education, research, and peer review activities.</li><li>Performs other duties as required or assigned.</li></ol>

Qualifications:
<ul><li>Associate’s degree with 3 years of relevant clinical paramedic experience in the field of pre-hospital emergency care or in-hospital emergency care preferred.</li><li>Excellent communication skills desired with the ability to work collaboratively as member of multi-disciplinary team.</li></ul>

Required Licensure/Certifications:
<ul><li>Current National Registry of Emergency Medical Technician’s Paramedic Certification, (EMT-P)</li><li>Current New Hampshire Paramedic License</li><li>Current BLS</li><li>ACLS, PALS and Moderate Sedation (within 6 months of date of hire)</li><li>Current PHTLS, or proof of audited ATLS or audited TNCC</li><li>AVADE Workplace Violence Prevention Training within one year of hire.</li></ul>

Paramedic, Evening, Part Time

YEAR

The Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including the LifeVest® wearable cardioverter defibrillator (WCD) and associated technologies. The Cardiac Management Solutions division of ZOLL, manufacturer of the LifeVest®, is seeking a Patient Service Representative (PSR) in an independent contractor role to train patients on the use and care of LifeVest ®.

Position Title: Patient Service Representative (PSR)Remote independent contract worker positionCompetitive fee for serviceFlexibility – work around your scheduleLifesaving medical technologyThe Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including the LifeVest® wearable cardioverter defibrillator (WCD) and associated technologies.Heart disease is the leading cause of death for both men and women in the U.S. At ZOLL, your services will help to ensure cardiac patients get the life-saving therapy they need. To date, the LifeVest® has been worn by hundreds of thousands of patients and saved thousands of lives.Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual basis.Summary Description:The Cardiac Management Solutions division of ZOLL, manufacturer of the LifeVest®, is seeking a Patient Service Representative (PSR) in an independent contractor role to train patients on the use and care of LifeVest ®. LifeVest®  is worn by patients at risk for sudden cardiac arrest (SCA), providing protection during their changing condition.  It is lightweight and easy to wear, allowing patients to return to their common activities of daily living, while having the peace of mind that they are protected from SCA.  This is the perfect opportunity for the health professional with patient care and teaching experience to supplement his or her income. A typical LifeVest® patient is in the hospital awaiting discharge, and the Patient Service Representative sets up the equipment and trains the patient and caregivers on the  use and care of the device. They also follow up with patients as needed to assure patient understanding and satisfaction. PSRs retain the flexibility to accept or decline assignments as their schedules dictate. Most assignments can be scheduled during free time – before/after work, and on days off.Responsibilities:<ul><li style="margin-bottom:2px;margin-left:10px">Contact caregivers and family to schedule services </li><li style="margin-bottom:2px;margin-left:10px">Willingness to accept assignments which could include daytime, evenings, and/or weekends.  </li><li style="margin-bottom:2px;margin-left:10px">Travel to patient’s homes and health care facilities <del cite="mailto:Elizabeth%20Scarborough"> </del>to provide services </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Train the patient and other caregivers of patient (if applicable) in the use of LifeVest® </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Program LifeVest® according to the prescribing physician’s orders </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Measure the patient and determine correct garment size </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Review with patient, and have patient sign, all necessary paperwork applicable to the service. </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Transmit signed copy of the Patient Agreement and WEAR Checklist to ZOLL within 24 hours of the assignment </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Manage device and garment inventory </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Disclose  family relationship with any potential referral source </li></ul>Qualifications:<ul><li style="margin-bottom:2px;margin-left:8px">Have 1 year patient care experience <ul style="list-style-type:circle"><li style="margin-bottom:2px;margin-left:8px">Patient experience must be in a paid professional environment (not family caregiver) </li></ul></li><li style="margin-bottom:2px;margin-left:8px">Patient experience must be documented on resume </li><li style="margin-bottom:2px;margin-left:8px">Completion of background check  <ul style="list-style-type:circle"><li style="margin-bottom:2px;margin-left:8px">Florida and Ohio candidates must complete a level 2 screening, fee not paid by ZOLL </li></ul></li><li style="margin-bottom:2px;margin-left:8px">Disclosure of personal NPI number (if applicable) </li><li style="margin-bottom:2px;margin-left:8px">Valid driver’s license and car insurance and/or valid state ID</li><li style="margin-bottom:2px;margin-left:8px">Willingness to pay a $30 annual DME fee which is deducted from a completed Work Order</li><li style="margin-bottom:2px;margin-left:8px">Willingness to pay for additional vendor credentialing (i.e. RepTrax) if needed geographically</li></ul> Powered by JazzHR

ZOLL LifeVest

Patient Service Representative

Auto Insurance

Cardiac Arrest

Cardiology

Defibrillator

Disease

Driver's License

Durable Medical Equipment

EMT-Paramedics

Electrocardiogram

Emergency Nursing

Firefighting

Healthcare

Licensed Practical Nurse/Licensed Vocational Nurse

Medical Products

Patient Care

Patient Follow-up

Phlebotomy

Product Development

Risk

Rural Contracts

Training/Teaching

Willing to Travel

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DHART Clinical Manager, Dartmouth Health Advance Response Team (DHART)Dartmouth-Hitchcock Health

Paramedic - AmbulanceDartmouth-Hitchcock Health

Paramedic, Evening, Part TimeDartmouth-Hitchcock Health

Patient Service RepresentativeZOLL LifeVest

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