Paramedic

Department: Emergency Room

Schedule/Status:

Varies: Per Diem

Standard Hours/Week:

12

General Description:

Under the general supervision of the Director of Emergency & Women’s Services, ED Medical Director, ED Physician, and/or Registered Nurse (RN), the Paramedic is responsible for the provision of care for assigned ED patients. This employee has access to medication storage areas, may receive, deliver, store and administer certain medications as specifically listed. The Paramedic participates with the RN and medical provider in planning, coordinating, and implementing plan of care to ensure quality, appropriateness, timeliness, professionalism, and effectiveness of service rendered.

Key Responsibilities:

Provide all aspects of Emergency Department (ED) care based on established standards. Demonstrate competency in all procedures within scope of practice, as appropriate to the medical needs of patients served; the ability to obtain and interpret information in terms of the patient’s needs; knowledge of growth and development; and an understanding of the range of treatment needed by these patients.

Order, stock and replenish supplies within the department.

Set up and assist with special procedures as instructed by physicians, medical providers and nurses. This includes obtaining, preparing, and handling supplies and equipment necessary to perform the procedure (i.e. antibiotic cream, betadine, sutures, etc.). Position requires access to medication room and Pyxis. Assist with the collection of medication history.

Assist patients with activities of daily living (i.e. toileting, bathing, dressing, grooming, etc.). Removal of Foley catheters. Application of splinting devices. Crutch fitting and patient instruction in crutch walking. Removal of staples and sutures. Point of care glucose testing. Phlebotomy. Insertion and removal of peripheral intravenous catheters. Wound care: minor and complex. Completion of 12-lead EKG. Application of cardiac monitoring. Identification of lethal and other cardiac dysrhythmias.

At the direction of the medical provider or RN: administer and document select medications including intravenous fluids (0.9% normal saline; lactated ringers) without additives and non-controlled medications by oral route only; initiate oxygen therapy; apply restraints.

At the direction of, and with the physician at bedside during attempts of cardiopulmonary resuscitation, perform Basic Life Support (BLS) and Advanced Life Support (ALS) duties to the extent of training through the American Heart Association (AHA) including: defibrillation, cardioversion, administration of ALS medications (excluding sedatives, paralytics, infusions or drips), insertion of intraosseous vascular access device.

Transport stable, non-ICU patients to inpatient units (i.e. no active blood transfusions or cardiac drips); assist the RN with patient transport to Critical Care areas.

Participate in ED Process Improvement projects. Act as a champion for Patient Experience. Attend 75% of all staff meetings.

Performs similar or related duties as assigned. Required to respond to emergency situations (i.e. disasters, hurricanes, etc.) by reporting to the department and staying until the crisis is over or position is covered by incoming personnel. This is mandatory requirement. Refusal to respond may result in termination.

Knows fire, disaster and safety procedures and regulations as they pertain to the work area.

Requirements:

Formal Education:

Vocational or other technical school, certification, training or apprenticeship required beyond high school

Work Experience:

1 year to < 2 years

Required Licenses, Certifications, Registrations:

Paramedic Florida State Certification and/or Paramedic National Registry Certification

BLS, ALS and PALS certifications through the American Heart Association required