Paramedic II PRN (ALS/GROUND) - Duke Life Flight - Durham NC
Work Arrangement: On-Site
Requisition Number: 273621
Regular or Temporary: Regular
Location:
Durham, NC, US, 27710
Personnel Area: DUKE HOSPITAL
Date: Sep 9, 2026
At Duke Health, we're driven by a commitment to compassionate care that
changes the lives of patients, their loved ones, and the greater community. No
matter where your talents lie, join us and discover how we can advance health
together.
About Duke Life Flight
Pursue your passion for caring with Duke Life Flight, which is Duke Health's
critical care and emergency air and ground transport team, accredited by the
Commission on Accreditation of Medical Transport Systems. The team includes
paramedics, nurses, respiratory therapists, emergency medical technicians, and
communications specialists who work quickly to provide compassionate care and
transport services to critically ill patients of all ages. Duke Life Flight
also maintains a Code Blue Response Team and helps support event medicine
needs.
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PRN Paramedic II – Duke University Health System - Duke Life Flight
Duke University Health System's Life Flight team supports over 20 critical
care procedures independently. The patient population is 22-23 week gestation
neonates to geriatric (all ages). In this department you work with
interdisciplinary teams including, Basic Life Support EMT's, single provider
ALS Paramedic, Clinical Nurses, Respiratory Therapist (Neo/Peds team) and
Critical Care Paramedics.
Work Hours & Shifts:
Full Time: Rotating shifts 7am-7pm and 7pm-7am
Location: Durham Base
Job Summary:
The Paramedic II functions as an integral member of the interdisciplinary
healthcare team providing direct patient care. The Paramedic performs a
variety of activities across various practices settings and patient
populations in accordance with the Paramedic scope of practice as defined by
the North Carolina Medical Board and with the approval of the practice setting
Medical Director.
Duties and Responsibilities of Paramedic II (Life Flight Advanced Life
Support Paramedic)
Responsible for providing direct patient care in accordance with the
Paramedic scope of practice as defined by the North Carolina Medical Board
under the medical oversight of the Medical Director of the practice
setting where the individual will function.
Assists clinical staff in the evaluation, treatment and care of patients.
Obtains pertinent history and performs a physical examination. Performs
technical procedures as delegated.
Monitors patients and maintains records using patient monitoring system
and electronic health records. Documents patients' status, delivery of
care and evaluation of the patients' response to care according to
specific procedures and established protocols.
Documents and maintains an informative and accurate medical record to
initiate charges for each patient treated.
Communicates in a professional manner essential information to all
appropriate members of the healthcare team to promote sharing of
information throughout the continuum of care.
Operates extensive medical and mechanical equipment in the hospital and
transport environment. Ensures all medical equipment is functioning;
restocks medical supplies as needed.
Provides and maintains a safe and therapeutic environment for the
patients, visitors, and staff. Properly disposes of and handles as
applicable, sharps, soiled materials, and linens and disinfects area in
accordance with policy and policy as applicable. Properly uses PPE when in
contact with patients, soiled utility, hazardous materials in accordance
with policy.
Act as preceptor and support the development of other staff and formal
learners.
Participate in the identification of clinical or operational performance
improvement opportunities and in performance improvement activities.
Supports an environment of evidence-based practice/research/quality
improvement initiatives
Maintain certifications and clinical skills.
Performs other related duties incidental to the work described herein.
Complete vehicle inspection and documentation each shift and complete a
road test of assigned ambulance(s).
Responsible for minor repairs to the unit to include but not limited to:
changing light bulbs, replenishing fluids, tightening nuts and bolts,
inspecting tires, etc. Responsible for daily maintenance including fueling
and cleaning of vehicle. Responsible for reporting minor and major repair
needs to the site specific Fleet Safety Coordinator, Clinical Team Lead,
and/or Program Manager.
Responsible for assisting with patient care as requested to include
loading and unloading, operation of commonly used equipment and providing
family members information/directions to Duke.
Responsible for providing direct patient care on ALS I, ALS II or BLS
transports, not to exceed beyond the scope of The Paramedic as defined by
the NCOEMS and approved by local medical direction, and documenting in the
electronic medical record.
Responsible for replenishing oxygen and medical supplies used during
transport.
Demonstrates safe driving skills and ability to use technology to complete
missions safely.
Assist with continuing education outreach programs and public relations
events as assigned.
Provide staffing coverage to all bases as needed. Assist units within Duke
University Hospital when necessary.
Education
High School Diploma Required
Associates Degree is preferred
Experience
One year ALS Paramedic experience required, preferred two to three years
prehospital experience with a moderate call volume (>15,000 calls/year) 911
agency.
Degrees, Licensure, and/or Certification
Current certification as a North Carolina Paramedic or have the ability to
obtain certification in the State of North Carolina.
Current trauma course preferred: PHTLS, BTLS or ITLS
BLS, ACLS, and PALS, required.
ITLS (or PHTLS) preferred upon hire. If not, will need to acquire within
the first year.
Neonatal Resuscitation Program (NRP) required within 6 months of hire.
North Carolina Emergency Vehicle Driver certification (EVOC) or
comparable must be completed in 6 months of hire
Current Class C driver's license from NC or other state
Current three (3) year driving history absent of violations
Knowledge, Skills, and Abilities
Knowledge of and appropriate application Paramedic scope of practice
Knowledge of professional theory, practice and procedure
Ability to assess needs of acute and chronically ill patients and their
families
Ability to independently seek out resources and work collaboratively
Ability to establish and maintain effective working relationships
Ability to communicate clearly with patients, families, visitors,
healthcare team, physicians, administrators, leadership and others
Ability to use sensory and cognitive functions to process and prioritize
information, treatment, and follow-up
Ability to use fine motor skills Ability to record activities, document
assessments, plan of care, interventions, evaluation and re-evaluation of
patient status
Ability to use computer and learn new software programs
Able to document and communicate pertinent information using computer
and/or paper documentation tools Ability to withstand prolonged standing
and walking
Ability to remain focused and organized Working knowledge of procedures
and techniques involved in administering routine and special treatments to
patients
Working knowledge of infection control procedures and safety precautions
Pre-employment Physical Capacity Testing Required Must Speak English in
good, understandable terms
Participate in own professional development by maintaining required
competencies, identifying learning needs and seeking appropriate
assistance or educational offerings.
Critical thinking and ability to concentrate
Must be able to respond quickly to changes in patient and/or unit
conditions
Operating knowledge of ambulance/fire truck or vehicle equivalent to the
Duke Life Flight ambulances
Physical Requirements Work requires walking, standing, sitting, lifting,
reaching, stooping, bending, knelling, crouching/squatting, balancing, and
pulling.
Ability to withstand prolonged standing and walking.
Must be able to lift and support the weight up to 75 pounds in handling
patients, medical equipment, and supplies.
Intact sense of sight, hearing, smell, and touch.
Finger dexterity. Bimanual Dexterity: Requiring the use of both hands.
Duke is an Equal Opportunity Employer committed to providing employment
opportunity without regard to an individual's age, color, disability, gender,
gender expression, gender identity, genetic information, national origin,
race, religion, sex (including pregnancy and pregnancy related conditions),
sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation,
creativity, and belonging. Our collective success depends on the robust
exchange of ideas—an exchange that is best when the rich diversity of our
perspectives, backgrounds, and experiences flourishes. To achieve this
exchange, it is essential that all members of the community feel secure and
welcome, that the contributions of all individuals are respected, and that all
voices are heard. All members of our community have a responsibility to uphold
these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include
essential job functions that require specific physical and/or mental
abilities. Additional information and provision for requests for reasonable
accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
