Paramedic - Per Diem

Paramedic

The Paramedic participates as a member of the nursing staff by performing various assessments, treatments and technical tasks as requested. Under the supervision of the Registered Nurse, the Paramedic assists with the delivery of non-critical and critical emergency care within the limits of his/her training, and documents that care in accordance with hospital policies and procedures.

Essential Job Functions:

• Provides advanced emergency care in the hospital setting.
• Assesses emergency patients and assigns appropriate triage level.
• Assists with patient transport.
• Assists with room cleaning and turnover.
• Collects and documents data on Emergency Department records including but not limited to vital signs (blood pressure, pulse, respiration, temperature, oxygen saturations, height/weight and peak flows).
• May perform all procedures within the scope of the Paramedic license and as in accordance with hospital policies and at the direction of a provider, including:
• cardiac monitoring including cardio version and defibrillation
• moderate sedation
• assistance with Rapid Sequence Inductions (RSI)
• IV insertion and maintenance
• cast application and removal
• oxygen therapy
• setting up sterile procedures
• ear irrigations
• initial care and treatment of burns as well as follow-up care and debridement
• cleans and dresses wounds
• blood draws (except legal samples)
• nasal and oral intubation at the direction of a provider
• intraosseous insertion and infusion
• gastric lavage
• foley catheter insertion and removal
• patient teaching on the use of crutches, splints, dressings and wound care
• Documents all assessment and care given in accordance to hospital policy.
• Assists with emergency procedures including but not limited to a-line and chest tube insertion, lumbar punctures, thoracentesis and central lines.
• Administers all medications listed and approved by the state for Paramedics.
• Administers medications categories below that are not on the state list:
• Narcotic pain medications, oral, IV or IM.
• IV Piggy back antibiotics and antiemetics not currently on the approved state list.
• Immunizations
• IV thrombolytics with nurse/provider in attendance.
• High risk medications with a nurse serving as the second check
• Over the counter medications
• Blood products with a nurse.
• Witness narcotic waste and serve as the second check for high risk medications and blood products.
• Performs ACLS procedures per license.
• Provides care and assistance as needed for critical care transports.
• Attends and participates in hospital/departmental meetings as required.
• Complies with hospital and departmental policies, procedures, regulations and standards as related to job.
• Demonstrates hospital's stated mission and values of teamwork, respect and communication with co-workers, patients, families and visitors.
• Actively and appropriately participates in problem-solving identification and resolution, both intra- and inter-departmentally.
• Meets department customer service standards and strives to enhance the level of customer service provided.

Qualifications

• Education:
• Required: High School Graduate or equivalent
• Completion of an approved Paramedic Program
• Work Experience:
• Required: Experience in a health care setting.
• Preferred: Three to five years experience in a hospital setting serving the same age/type of patient population.
• Licensure/Certifications/Registrations:
• Required: Must be a certified EMT-P (Paramedic) in the State of New Hampshire. Have current BLS certification (adult, child, and infant), PALS and ACLS.
• Preferred: Specialized trauma courses.
• Other Skills/Knowledge:
• Required: Ability to respond appropriately to changing patient and staffing conditions. Demonstrated ability to make independent judgments in times of need along with the ability to seek guidance and/or support from appropriate resources.
• Computer literacy. Ability to write clearly and concisely. Excellent interpersonal and communication skills. Ability to give and accept feedback in a constructive manner.