ER Technician

Emergency Department Technician, Paramedic Qualified

JOB TITLE:

Emergency Department Technician, Paramedic Qualified

DEPARTMENT:
Emergency Department / Hospital Nursing

REPORTS TO:

Emergency Department Director or designee; receives patient care assignments from the assigned RN and orders from authorized providers.

Provides direct patient care and operational support in the critical access hospital emergency department as a member of the care team. The position is intended for an individual holding current Texas paramedic credentials. The employee performs assigned technician duties and additional approved skills only after MCHD orientation, documented competency, and authorization under applicable law, medical staff orders, and hospital policy. The RN retains responsibility for nursing assessment, planning, evaluation, and nursing supervision;

the treating provider directs medical diagnosis and treatment.

Education – High school diploma or equivalent; completion of an accredited paramedic education program.

License, registry, or certification – Current Texas paramedic license or certification in good standing; current BLS and ACLS. PALS and other emergency care credentials as required by MCHD.

Experience – One year of paramedic or emergency care experience preferred; hospital ED experience preferred.

Skills and abilities

– Ability to read, write, speak, and understand conversational English (verbal and written) sufficiently to communicate effectively with patients, families, and the care team, document accurately in the electronic health record, and follow written protocols and orders. Clear verbal and written communication, safe patient handling, ECG and emergency equipment familiarity, electronic health record use, and effective teamwork during high-acuity events.

Vision and hearing – Sufficient vision (near, far, color, and peripheral; corrective lenses permitted) to read monitors, labels, documentation, and patient conditions, and sufficient hearing (normal conversational levels and equipment alarms; hearing aids permitted) to receive verbal instructions, communicate with the team, and respond to auditory cues.

Receives assignments from the RN, communicates observations promptly, and escalates urgent changes in condition immediately to the RN and treating provider.

Obtains and records vital signs, pain scores, blood glucose readings, weights, intake and output, and other assigned observations; recognizes abnormal findings and reports them without delay.

Assists with rooming, patient positioning, safe transfers, transport, hygiene, comfort measures, fall precautions, and care appropriate to neonatal, pediatric, adult, and geriatric patients.

Obtains 12-lead ECGs, applies monitoring equipment, assists with oxygen delivery and airway equipment, and supports resuscitation and trauma care as assigned within approved competency.

Collects and labels specimens and performs point-of-care testing only when trained and authorized under laboratory policy and quality control requirements.

Prepares rooms, supplies, and equipment for procedures; assists the RN and provider with wound care, splinting, immobilization, and other procedures within assigned competency.

For enhanced paramedic skills, performs only procedures specifically listed in a current MCHD role‑specific skills matrix, supported by documented training and competency, a valid order or approved protocol when required, and the applicable supervision arrangement. Examples that may be considered for approval include IV access, phlebotomy, ECG acquisition, and airway or resuscitation assistance; listing an example here does not authorize…