Vihara Dynamics

This position pays $27.00 per hour, plus a $5.09 per hour Health and Welfare stipend paid on all hours worked — an effective rate of $32.09 per hour.

Reports to: Director of Operations / Station Supervisor, with clinical oversight from the Operational Medical Director
FLSA: Non-exempt, hourly
Locations: Roanoke, Salem
Schedule: Cycled 10- and 12-hour rotating shifts; 24/7/365 operation including nights, weekends, and holidays

Position Summary

The Paramedic serves as the lead clinician on ALS and, where credentialed, Critical Care Transport units, delivering advanced assessment and intervention for emergent and non-emergent ground transports. The Paramedic is responsible for the clinical care of the patient from bedside to bedside and for the direction of the crew during patient care.

Essential Duties

• Perform advanced patient assessment and deliver care within the Virginia Paramedic scope of practice under PPT protocols and medical direction, including advanced airway management, cardiac monitoring and 12-lead interpretation, defibrillation and cardioversion, IV/IO access, fluid resuscitation, waveform capnography, and administration of the full authorized medication complement.
• Serve as clinical lead on the unit; direct the EMT partner and any augmented crew during patient care and lift assists.
• Maintain continuity of ICU-level therapies in transit when assigned to CCT, including vasoactive and sedation infusions, mechanical ventilation and CPAP, arterial and central lines, chest tubes, VADs, blood and blood products, and TPN.
• Operate and troubleshoot critical care equipment including Zoll X Series monitors, portable ventilators, and multi-channel smart infusion pumps; transition patients to PPT-compatible tubing prior to departure where required.
• Conduct bedside report with sending clinical staff, verify orders and infusion parameters, and give complete report to receiving staff on arrival.
• Contact online medical control for orders outside standing protocol.
• Complete thorough, accurate ePCR documentation in Traumasoft, including all interventions, medications, vital sign trends, and transfer-of-care details.
• Verify controlled substance counts and secure storage per PPT policy; maintain accurate narcotic documentation.
• Complete pre- and post-shift unit and ALS/CCT equipment checks; ensure the drug box and equipment complement are complete and in date.
• Perform vehicle and equipment cleaning and disinfection per PPT's SOP after each transport.
• Participate in case review, continuing education, quality assurance activities, and precepting of new hires and field trainees as assigned.

Required Qualifications

• Current Virginia OEMS Paramedic certification (or NREMT-P with Virginia reciprocity eligibility at hire).
• Current CPR/BLS, ACLS, and PALS certifications.
• Completion of a DHHS-standard training program of at least 150 hours or equivalent, including an in-hospital clinical component.
• Valid driver's license appropriate to vehicle class; EVOC completion at or shortly after hire.
• Driving record for the past three years free of license cancellation or suspension, convictions for operating without insurance, convictions for driving without a valid license for the class of vehicle, and any DUI/DUID conviction.
• Successful completion of PPT's criminal background check with no felony convictions or pending felony charges within the past five years.
• Current TB testing per Virginia guidelines and compliance with PPT's health screening requirements.
• Ability to function as the sole advanced-level provider in the patient compartment without direct supervision.

Preferred / Required for CCT Assignment

• Critical Care Transport certification at the tier in which services are performed (Tier I, II, or III) per Virginia requirements — required for any CCT assignment, with a current certificate on file.
• FP-C, CCP-C, or CCEMTP credential.
• Prior ICU-level interfacility transport, ventilator management, or multi-drip infusion experience.
• Preceptor or field training officer experience.

Physical Requirements

Same as EMT: minimum 125 lb. lift with assistance and participation in heavier team lifts; repeated bending, kneeling, pushing, pulling, and reaching; extended sitting and driving; work in confined spaces in a moving vehicle; all-weather outdoor exposure; visual and auditory acuity sufficient for assessment, monitor interpretation, and safe vehicle operation.

Contract-Assigned Personnel

Employees assigned to federal or health-system contracts must additionally clear the customer's investigative requirements — for VA work, a Special Agreement Check (SAC) with fingerprinting conducted at the VA facility, renewed annually — and must report any new charges or convictions arising during employment immediately.