Paramedic I - Emergency Department - Duke University Hospital - Durham, NC

Company: Duke Health
Location: Durham
Posted on: June 15, 2026

Job Description:

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 University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

The Emergency Department at Duke University Hospital is comprised of 81 total beds including 18 Pediatric beds/36 Adult Monitored beds/8 Psychiatric beds/11 Evaluation beds/3 Consult beds/4 Triage beds/1 Sexual Assault Examiner Room/ and a dedicated central telemetry station . Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time.

The Paramedic 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.

Work Hours & Shifts:

Full time - 36 hours per week: 3 - 12 hour shifts

Shifts available: 7p-7a

Duties and Responsibilities:

• 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.

Minimum Qualifications

Education

Successful completion of an NCOEMS approved Paramedic Course or a United States Department of Transportation (USDOT) centered course or similar approved Paramedic Course.

Experience

Level I - Paramedic One year experience in relevant clinical areas required, Paramedic experience preferred. Level II - Life Flight Advanced Life Support Paramedic One year ALS Paramedic experience required, preferred two to three years prehospital experience with a moderate call volume (>15,000 calls/year) 911 agency. Level III - Life Flight Critical Care Paramedic Minimum of three years and current ALS experience as a Paramedic in emergency setting with a moderate to high call volume 911 agency (20,000 to 35,000 calls/year) Obtain FP-C within 2 years of hire. Weight Standards policy

Degrees, Licensures, Certifications

Current certification as a North Carolina Paramedic required for all Level I and Level II levels. BLS, ACLS, and PALS required. (Must obtain within 6months if working in a hospital based department) Current trauma course preferred: PHTLS, BTLS or ITLS Applies to Life Flight Paramedic only BLS, ACLS, and PALS, required. ITLS (or PHTLS) preferred upon hire. If not, will need to acquire within the first year. NRP required within 6 months of hire. North Carolina Emergency Vehicle Driver certification or comparable. Current Class C driver's license Current three (3) year driving history absent of violations. Level III Applies to Life Flight Paramedic only Satisfy all requirements of Level II Neonatal Resuscitation Provider (NRP) required CCP-C or FP-C certification required. PHTLS certification required within 1 year of hire. Specialty certification, i.e., FP-C, or CCEMTP required within 2 years of hire date if Paramedic is new to SCT transport Obtain TPATC within 24 months of hire

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 onthe 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.

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