Paramedic (8A-8P) - Advanced Care at Home

Nemours Children’s Health is launching the nation’s first pediatric Mobile Integrated Health (MIH) program as part of our Advanced Care at Home (ACaH) initiative. This full-time position in Orlando, FL operates on an 8A-8P schedule.

About the Role

As a MIH Paramedic, you will be an integral part of a multi-disciplinary team providing advanced care in the home to patients and their caregivers. You will deliver skilled clinical services under the direction of a physician or advanced practice provider.

Responsibilities

• Practice within the designated scope of practice.
• Perform patient assessment and prioritize care based on assessment.
• Conduct home safety assessments.
• Facilitate telehealth videos with ACaH providers and RNs as needed.
• Assist with in-home setup of equipment, devices, and technology as directed.
• Implement individualized patient plans of care as directed by ACaH providers and RNs.
• Continuously re-assess patients and perform advanced role skills according to standard protocols or online physician/provider direction.
• Distinguish between normal and abnormal findings and recognize clinical deterioration.
• Administer and monitor medications within scope of practice as outlined by ACaH policies.
• Document patient care as specified by department and hospital guidelines.
• Promote family-centered care.
• Maintain proficiency in:
  • Airway management
  • Peripheral IV insertion and fluid administration
  • C-Spine restriction and splinting
  • Needle thoracentesis
  • Intraosseous needle placement
• Coordinate and manage supplies and equipment in collaboration with a multidisciplinary team.
• Participate in and support research studies, evidence-based practice projects, and quality improvement initiatives.
• Maintain open communication with the ACaH team throughout patient encounters.
• Communicate all pertinent patient information in both written and verbal form.
• Provide written and verbal reports to receiving providers in an organized and timely manner.
• Complete visit documentation.
• Maintain vehicle in clean and neat working order and ensure adequate inventories of supplies.
• Complete all equipment and safety checks promptly during shift.
• Provide prompt notification of deficiencies identified during safety checks.
• Anticipate patient needs and secure proper equipment and personnel.
• Promptly communicate safety and equipment concerns per policy.
• Maintain transport vehicle readiness, including cleanliness, equipment, and supplies.
• Recognize recurring problems and participate in their resolution.
• Participate in ACaH data collection.
• Actively participate in patient review and performance improvement projects.
• Perform additional miscellaneous duties as assigned by supervisor.

Requirements

• High School Diploma and graduation from an accredited paramedic program (professional institute or college/university).
• Nationally Registered Emergency Medical Technician (NREMT-P) (Required).
• American Heart Association certifications:
  • Basic Life Support for Healthcare Provider (BLS) (Required).
  • Pediatric Advanced Life Support (PALS) (Required).
  • Advanced Cardiovascular Life Support (ACLS) (Required).
• Certifications from the State of Delaware (prior to hire and orientation), Maryland, and Pennsylvania within the first 120 days of hire (Required).
• Specialty certification (PNCCT, CCEMTP, FP-C) (Preferred).
• At least 1 year of ALS experience in a pre-hospital (911) or inter-facility transport program (Required).
• At least 2 years of related experience (Preferred).
• Valid driver’s license and a safe, reliable vehicle capable of transporting equipment and supplies.

Skills

• Excellent interpersonal and communication skills.
• Clinical expertise, problem-solving, and independent decision-making skills.
• Proficiency with information technology.
• Ability to hear and communicate clearly and professionally.

About Us

Nemours Children's Health is an internationally recognized pediatric health system serving over 1.7 million patient encounters annually. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and over 40 hospital partnerships. Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive. We are committed to culturally relevant care, reducing health disparities, and fostering an inclusive environment where every associate, patient, and family feels supported and valued.