Emergency Department- Paramedic- 32hr

Job Description

The Paramedic provides patient/family centered care under the direct supervision of a Registered Nurse when performing technical care procedures in the Emergency Department and operates under the supervision of the Operational Medical Director when in the role of transport Paramedic or call taker. Serves as a member of an interdisciplinary, self‑managed work team using a holistic, caring approach to patient care.

Performs delegated aspects of age‑appropriate patient care and technical patient care skills including basic rehabilitation, phlebotomy, respiratory therapy and EKG under the RN direction. Reinforces patient/family teaching provided by the RN. When working in the capacity of a member of the transport team works as a member of the multidisciplinary care team providing advanced skills as delegated by the operational medical control physician in accordance with established protocols and guidelines.

All patient care is provided in accordance with CCMC and Emergency Department policies and procedures.

Responsibilities include, but are not limited to:

• Assist patient with activities of daily living, which includes, but not limited to hygiene, ambulating, feeding and personal care.
• Place patients on monitors, pulse oximetry and noninvasive blood pressure cuffs.
• Perform EKGs.
• Assist RN/Physicians to make assessments by obtaining data and reporting observations promptly and accurately.
• Follow medical instructions promptly and accurately to the extent possible, within scope, whether instructions are received from the physician or by an ED RN.
• Collect patient data to include vital signs, temperature, weight and head circumference or other data as directed by the nurse.
• Collect and complete point‑of‑care testing, as appropriate, to include blood glucose (fingerstick), urine, pharyngeal swabs, urine HCG, strep tests and 1‑ and 2‑step point‑of‑care.
• Apply splints and other orthopedic devices (may include slings, immobilizers).
• Provide crutch walking instruction to patients.
• Transport patients, including patients receiving oxygen and elevated PEWS, off the unit to ancillary support departments or for admission/discharge, outpatient/surgical procedures; assist in transport of patients to telemetry‑monitored units.
• Perform basic wound care, including wound cleansing, irrigation and preparation for provider; apply and document basic wound dressings.
• Perform basic fingerstick and phlebotomy functions for patients needing blood sample collection.
• Provide support in Zone C for behavioral health patients needing 15‑minute observation, constant observation or 1:1 observation and assist in restraints.
• Demonstrate knowledge of population‑specific differences and needs of patients from neonate through adolescence and apply them to practice; demonstrate cultural sensitivity in all interactions with patients/families and co‑workers.

• Accurately document all interventions and patient data in the patient record.
• Demonstrate basic data entry and data retrieval competency in electronic patient records and/or patient supply systems utilized on unit.
• Maintain appropriate inventories of unit supplies in patient rooms/bedside stands, in treatment, utility, medication and linen rooms.
• Clean, maintain and inventory unit equipment.
• Perform quality control checks on equipment or supplies as directed by the RN.
• Utilize all equipment appropriately, notify appropriate team members of equipment or facility breakdown or damage; assist with miscellaneous tasks and transportation of medication—including controlled substances—blood, equipment and supplies as directed by the RN.
• Assist with routine clerical tasks.

• Works under the scope and direction of the operational medical director, utilizing advanced skills with demonstrated competency when in the role of Transport Paramedic.

• Establish effective relationships with patients, families, staff and external customers/consultants to the team.
• Demonstrate support for the mission, values and goals of the organization through behaviors that are consistent with CCMC standards.

• Is…