Paramedic - Emergency Department - Full Time Nights
Monadnock Community Hospital
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.
Responsibilities include:
- 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
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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