Emergency Medical Technician Basic and Paramedic

This Position is Contingent on Contract Award. Under the direction of the National Medical Director, physician supervisors, and advanced practice providers and in collaboration with the Office of the Chief Medical Officer (OCMO) of U.S. Customs and Border Protection (CBP), contracted Emergency Medical Technicians (EMT) deliver healthcare services to persons in custody in accordance with the polices and protocols listed in the Statement of Work (SOW) and Department of Homeland Security (DHS) directives for the delivery of healthcare services to persons in custody.  EMTs work to assure delivery of quality healthcare services in accordance with the SOW for the medical services contract within medical units at U.S. Customs and Border Protection sites including, Office of Field Operations (OFO) ports of entry, U.S. Border Patrol Border (USBP) Stations. Performs the clinical responsibilities as agreed upon by the National Program Director.  Contracted medical staff will be working alongside uniformed Customs and Border Protection (CBP) Agents/Officers in secured federal facilities along the southwest border of the United States. These secured federal facilities are staffed and monitored by CBP personnel and/or contracted security staff 24 hours a day, 7 days a week to assure a safe working environment to include the co-located medical unit. Contracted medical staff work together with CBP personnel to provide health care services for persons of all ages, to include infants, children, adults, and pregnant females. MISSION  CBPs Office of the Chief Medical Officer (OCMO) employs a trauma informed care model to provide frontline medical care for persons in CBP custody in accordance with Enhanced Medical Support Efforts CBP Directive (2210-004). This model provides a team of medical professionals comprised of physicians, advanced practice providers (e.g., physicians assistants, nurse practitioners) and support staff (e.g., Licensed Practical/Vocational Nurses, Paramedics, EMTs, Certified Medical/Nursing Assistants). These contracted medical teams provide basic assessment and medical treatment for persons in CBP custody to include emergency care as needed.Duties and ResponsibilitiesPerforms medical history and physical assessment.  Determines chief complaint.  Performs vital signs electronically and manually, as indicated.  Obtains medical histories and completes necessary paperwork on detainees entering the facilities including vital signs (Blood Pressure, Temperature, Pulse, Respirations, Pulse Oximetry), performing manually and electronic as applicable. Any medical concerns, abnormal findings or complaints are referred to a Physician or an Advanced Practice Provider (APP).  Knowledge or and ability to apply professional principles, procedures, and techniques for patient care. Initiates and maintains compliance with DHS and CBP policies and any overriding accreditation standards that may apply.  Works within licensure/certification, Scope of Practice, Guidelines for NR EMT/NR Paramedic, as provided by CBP contracted employer and the certifying authority or agency. Maintains compliance with standard operating procedures and protocols.  Maintains patient confidentiality and privacy of medical records.  Performs record keeping functions in accordance with program policies and the system of records management.  Maintains non-involvement in the security aspect of patient care and custody.  Attends general staff meetings and participates with medical quality management initiatives and reviews as applicable.  Assures a safe and clean working environment and assists in the disposal of biologically hazardous waste on a regular basis.  Completes all annual training as directed. May be required to travel on short notice.  May be required to serve at various medical units within sector/region.  Flexible scheduling and overtime are optional, as available.  Duties will be performed on-site at medical units, which may rotate within a specific region or sector.  Assists with medical appointments, medical/mental health emergencies, documenting all care provided, orders received, and/or any referral made.  All documentation completed will be signed and dated, and spell checked for accuracy.  Ensures any medical orders received or standing orders are implemented.  Coordinates healthcare needs of the patient with other staff members or custody as needed, to include referrals to offsite care.  Performs record keeping functions in accordance with records management policy, basic records management training, and program policies.  Maintains privacy and confidentiality of all patient care.  Performs head to toe assessment, documenting findings, and completing any needed treatments within the scope of practice. Refers any urgent needs to a higher level of care if needed.  Restocks supplies as needed, assists with maintaining inventory, maintains equipment in proper working order, to include any manufacture recommended preventative maintenance.  Participates with general staff meetings during normal duty hours.  Coordinates referrals to offsite facilities, performs emergency care if needed.  Communicates an end of shift report to the oncoming shift.  Participates in Medical Quality Management/Quality Assurance/Risk Management activities or initiatives as needed.  Provides emergency care to help stabilize employees or visitors for life, death, loss of sight/limb situations until Emergency Medical Services arrive.  This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above.