Care Extender-MSH - Full Time - Day (Emergency Paramedic Experience)

As an integral part of a team, the Care Extender is responsible for patient care and support activities promoting patient focused care within the Emergency Department.

Assists the care team with the delivery of services to patients in the Critical Care and Step- Down Units department setting as follows:

1. Functions in an emergency situation as a team member, assisting with BCLS, PALS, and ACLS, under the direction of the care team. This includes chest compressions, EKG, and assisting with gathering resuscitative supplies. 
2. Identify patients that present with (or have a status change) a condition that requires immediate care. Immediately communicate this need to the care team.
3. Takes and accurately documents patients’ vital signs. Promptly report any variations in patient's behavior, vital signs, or cardiac rhythm or any complaints of pain to the care team.
4. Observes patient behavior and responses to treatment, reports and records routine and specific patient data, such as: blood pressure, pulse, temperature and respirations. 
5. Prepares patients for treatments, diagnostic procedures and assists health care providers as requested. 
6. Transports patients, including critical care patients, to other areas of the hospital as directed
7. Performs venipuncture and EKG as per assigned case load and direction by the Care Team.
8. Provides comfort measures to all patients. Meets the physiologic needs of the patient (nutrition, hygiene, turning, positioning, ROM, skin care) and assists patients with ADL.
9. Communicates patient’s needs and requests promptly to charge/primary nurse.
10. Addresses physical, spiritual, psychosocial, emotional, and cultural needs for patients/families
11. Provides compassionate end-of-life care.
12. Gives concise and comprehensive report for all handoffs of care which include situation, background, upcoming tests, and patient specific needs.
13. Recognizes and responds appropriately in crisis situations.
14. According to policy and established procedures assures that patient clothing and valuables are handled properly.
15. Is open and responsive to the diverse backgrounds and experience of other people and promotes an environment that is sensitive to cultural diversity.
16. Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety, and related criteria, appropriate to the age of the patients served in assigned area

Age Specific Competencies
a. Identifies physical, behavioral and emotional characteristics typical for the age group.
b. Modifies approaches based on patient age-specific needs and responses to treatment.
c. Provides care for patients based on age-specific needs.
d. Uses communication techniques, which are age appropriate.

PATIENT EXPERIENCE 
1. Greet visitor, introduces self, and answers telephones promptly and courteously. Escort visitors to appropriate area, when necessary. Provide information and make referrals when appropriate. 
2. Orients patients to the Emergency Department Zone and Bay/Room.
3. Maintains a safe, comfortable and therapeutic environment for patients and families in accordance with hospital standards. 
4. Responds to call bell system and assist with patient’s needs/requests.
5. Maintains patient comfort during stay. 
6. Assists with setting up appropriate interpreter services under the direction of the RN.
7. Performs hourly rounds and care checks on patients to ensure that their comfort needs are addressed.
8. Communicates effectively to keep patients abreast of care activities and explains what they are doing when in the patient’s room.
QUALITY AND SAFETY
1. Verifies patient identification using name and date of birth per hospital policy prior to performing procedures or obtaining vital signs, collecting specimens, or transporting a patient.
2. Immediately communicates any concerns, changes in patient status, and abnormal vital signs to the registered nurse or provider.
3. Performs hand hygiene before and after patient contact. 
4. Under direction of the care team, and according to set procedures, will maintain isolation status and mechanical safeguards for patients.
PROFESSIONAL DEVELOPMENT 
1. Attends staff meetings, regularly checks work email to stay up to date on new initiatives, and participates in team briefs.
2. Maintains BLS, PALS and ACLS certification. 
3. Participates in QA/ QI initiatives 

• High School Diploma or equivalent. 
• An Associate or Bachelor degree is preferred.
• One year of full-time emergency paramedic experience.
• Spanish speaking preferred.
• AHA Basic Life Support (BLS)
• AHA Pediatric Advanced Life Support (PALS)
• AHA Advanced Cardiac Life Support (ACLS)

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $42.7087 - $49.1376 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.