Paramedic, Evening, Part Time

Overview

Our Emergency Department unit has 43 beds staffed by RN's, LPN's, Paramedics, EMT's, and LNA's. We are the only Level 1 Trauma Center in the state of NH and work closely with our system affiliates to accept patients requiring critical/neurological/cardiac/obstetrical/medical or trauma care. Our unit sees a large volume of referrals, transfers and trauma consults from outside facilities, and provides services for the local community. We see 31,000 patients annually to include neonates through geriatric populations in various states of health, often times with multiple diseases processes. Our nurses are trained for resuscitation, acute care, outpatient care, trauma care, mental health and are proceduralists delivering bedside moderate sedation. A typical day for a nurse would involve assisting in a fracture reduction for an adult skier injury, caring for a pediatric patient with uncontrolled asthma, managing a homeless victim found unresponsive in the snow in need of resuscitation, and caring for a cardiac arrest or stroke victim. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions.

We are seeking a paramedic with prior experience practicing in a hospital or emergency department setting.

EVENING ROTATING SHIFTS:

1p to 1a, 1a-1p, 3a-3p, 3p-3a (Part Time, 1 shift/week)

Responsibilities

Provides professional care to patients within the Emergency Department. Assesses, plans, organizes, provides, and evaluates care utilizing critical thinking skills. Makes judgments and decisions and assumes responsibility for care and documentation.

1. Manages patients with individualized care by evaluating effectiveness/outcome of care, recognizing significant changes in patient condition, and modifying care based on clinical presentation.
2. Provides individualized care, recognizes and takes appropriate action for significant changes in patient conditions.
3. Evaluates effectiveness of care and makes necessary modifications to assist with optimal patient outcomes.
4. Establishes relevant, evidence-based and safe interventions and priorities when providing care, including administering of medications.
5. Collaborates effectively with patient, patient's significant others, and members of the health care team to achieve optimal patient outcomes. Acts as a resource to peers, medical students, house officers, and other health care providers.
6. Communicates patient status through verbal, electronic, and written means with other health care providers, and takes appropriate action for patient well-being.
7. Observes patient to recognize care needs. Implements care/interventions directly when needed (physical, social or emotional) or indirectly by collaboration with other nursing team members, physicians or members of other health care disciplines.
8. Collaborates with colleagues to ensure patient and family involvement with discharge planning and the achievement of identified needs through teaching or referrals. Assumes responsibility for ensuring an integrated discharge planning process.
9. Identifies and offers solutions to patient care delivery issues through quality improvement, continuing education, research, and peer review activities.
10. Performs other duties as required or assigned.

Qualifications

• Associate's degree with 3 years of relevant clinical paramedic experience in the field of pre-hospital emergency care or in-hospital emergency care preferred.
• Excellent communication skills desired with the ability to work collaboratively as member of multi-disciplinary team.

Required Licensure/Certifications

• Current National Registry of Emergency Medical Technician's Paramedic Certification, (EMT-P)
• Current New Hampshire Paramedic License
• Current BLS
• ACLS, PALS and Moderate Sedation (within 6 months of date of hire)
• Current PHTLS, or proof of audited ATLS or audited TNCC
• AVADE Workplace Violence Prevention Training within one year of hire.