Paramedic - Emergency Department - 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. 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
• 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.
• Administer all medications listed and approved by the state for Paramedics.
• Administer 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
• Initiate and complete Home Medication Lists and enter in EMR
• Witness narcotic waste and serve as the second check for high risk medications and blood products.
• Performs ACLS/PALS procedures per license.
• Provide 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 services provided

Qualifications

Education

High School or better.

Experience

Certified EMT-P in the State of NH

Five years as a practicing pre-hospital Paramedic preferred

Licenses & Certifications

PALS

ACLS

BLS

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