Emergency Department Paramedic; Job Berlin area,New Hampshire USA,Healthcare

Position: Emergency Department Paramedic (Full Time)

POSITION SUMMARY:

The Emergency Department (ED) Paramedic will function as a member of the clinical team in the Emergency Department assuming and providing quality care to patients in the Emergency department. The Androscoggin Valley Hospital (AVH) paramedic may be asked to accompany an EMS service on a transfer to another facility based on acuity. The AVH paramedic will follow the protocols set forth by the state of New Hampshire and the WMC standards of care.

The Paramedic is accountable to the Emergency Department Manager and Emergency Department Director.

ESSENTIAL QUALIFICATIONS

Education:

Graduate of Paramedic Program.

Certification:

NRP Certification required, must be obtained within one year of employment.
MOAB required within one year.

Licensure:

Current licensure as a Nationally Registered Emergency Medical Technician-Paramedic.
Current licensure as an Emergency Medical Care Provider in the State of New Hampshire.
Current BLS, ACLS, PALS and PHTLS certifications required prior to employment. Critical care course completion required within two years of employment.
Association
* accredited course in Basic Life Support (BLS) (for clinical staff), or Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis, with up to a three-month grace period after the expiration date.

Skills:

Advanced Clinical Proficiency Preferred.
Effective Communication and Collaboration.
Risk Management and Problem Solving.
Technology and Documentation.
Compassionate Patient Care.

Work Experience:

Two years' experience as a Paramedic required.
Hospital experience preferred.
Excellent interpersonal skills, conflict management and time management skills required.
Basic computer systems knowledge.

ESSENTIAL FUNCTIONS:

Demonstrates current clinical competence and excellence in clinical practice as outlined in skills competency tool.

Accepts responsibility and accountability for his/her own clinical practice while functioning as a Paramedic in the ED. Adheres to the Standards of Practice in the ED based upon physician orders and during transports under the NH EMS Protocols.

Accepts responsibility and accountability to identify and report Risk Management situations. Completes Occurrence Reports with all details documented. Notifies the EMS Coordinator, the Emergency Department Manager, and the Risk Manager when risk related situations arise.

Brings recommendations on new products and recommendations to reduce supply expenses to the EMS Coordinator and Department Manager as needed. Demonstrates a commitment to containing costs and efficient use of materials.

Assess EMS patients immediately upon arrival at the scene. Assess Emergency Department patients. Assess and Triage Emergency Department patients.

Interpret rhythm strips accurately. While functioning in the ED, review all test results including (but not limited to) EKGs, Lab and X-ray and report findings to the ED physician.

In with the ED physician and ED RN, coordinate the in-hospital interdisciplinary plan of care.

Implement the plan of care including the administration of medications according to State and hospital formulary/policy. Monitor for desired effect as well as side effects and adverse effects. Document findings.

Assist the physician and other providers in treatments and procedures (i.e. suturing, splinting). Implement physician orders within scope of practice for a Paramedic.

Review and update treatment plan in collaboration with the pre-hospital team or the ED team, the family and the patient.

Appropriately triage patient using ESI model and notify ED RN and Physician of any immediate critical findings. Initiate orders in the ED per protocol and policy as appropriate.

Input Physicians orders into Order Management system and carry out waived testing as needed. Process other physician orders for diagnostic tests.

Document all pertinent information on the pre-hospital PCR or the patient’s medical record in an accurate, detailed and legible manner adhering to procedures for charting.

Transport patients to and from other departments as requested. Monitor patients and continue essential services (i.e. oxygen, IV therapy) during transport as indicated.

Ensure sensitivity toward patients and caregiver/family by eliciting patient’s physical and emotional concerns, being a receptive listener, and providing an environment conducive to interviewing and the delivery of care.

Upon request, accompany a patient on a paramedic level transfer from any affiliate to another acute care facility. Ensure completion of NH Transfer form and obtain orders from physician prior to transfer.

Follow appropriate infection control practices and precautions as outlined in the hospital policies and procedures.

Support patient care initiatives in all clinical departments by responding to Code Blue and Rapid Response Team calls in-house and performing IV starts in any department as requested.

Adhere to Medication Safety policies in regard to appropriately bar-coding medications and patient . Obtain a witness whenever a…


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