Paramedic Ambulance/ER

Variable 12 hour shift (United States of America)

The emergency department Advance Practice Provider (APP) provides advanced nursing and patient care in the acute care setting based on educational preparation and/or certification in the practitioner role to a specific patient population. The (APP) assumes the management of patients, functioning in both an independent and collaborative role with the physician, case manager, and other members of the health care team. The (APP) facilitates the transition of patients between service units and provides/coordinates complex patients and family teaching. This position is required to work weekends, nights and holidays as warranted. The delivery of professional nursing care at Stormont Vail Health is guided by Jean Watson's Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization.

Must be a graduate of an accredited PA/APRN program. Meets educational preparation or other qualifications within specified time frames as determined/outlined by specific department policy.

All APRN incumbents are required to maintain Registered Nurse competencies as designated by Federal and State organizations and as outlined in SVH policy. (Provides primary care for the emergency department/Trauma population in the outpatient setting. Ensures that care delivered to patients is provided according to the Stormont Vail Health mission, strategic plans, and all internal/external regulations, policies and procedures. Supports the established care models of Stormont Vail Health.

Functions independently and collaboratively with the physician and all disciplines to provide continuity of health care services for individuals, families, and/or groups. Evaluates the health status, acute episodes of illness, and health care needs of individuals through emphasis on history, physical exam, and psychosocial assessment in collaboration with other health care teams.

Analyzes data to identify health/illness problems, the human responses to actual or potential health/illness problems, and variations from the norm in diagnosis, emergent problems, and complications.

Coordinates care for continuity of care across the health care continuum.

Attends emergency/trauma service rounds, participates in patient evaluation and care planning, reviews laboratory studies, vital signs and x-rays. Intervenes as determined appropriate in collaboration with the emergency department/trauma team and within management protocols standards. Under the supervision of the emergency department physician/trauma surgeon, writes and effectively communicates orders in accordance with management protocols. Communicates new or altered findings to the emergency department physician/trauma surgeon.

Evaluates patients in the outpatient clinic setting, monitors problem development and provides appropriate referrals for follow-up and problem resolution. Performs expanded role in the outpatient setting including suture, staple removal, wound care and other therapies in accordance with management protocols.

Updates patient’s chart and write dismissal orders according to the guidelines of the Stormont Vail Health Rules & Regulations. Provides early identification of discharge needs and ensures that appropriate referrals are made with case management and social services, nursing care team and attending RN.

Consults with other members of the health care team to expedite disposition/resolution. Facilitates patient/family participation in health care by identifying learning needs and providing education to enhance decision-making.

Assists staff in the coordination of a plan of care for the Emergency/Trauma Services patients.

After discussion of the plan of care with the Emergency Department physician/Trauma Surgeon, provides information to patients and their families regarding diagnosis, plan of care, expectations, and prognosis.

Provides telephone consultation to patients and/or physicians following discharge when on duty.

Assists in the development of research based clinical care protocols, guidelines, and pathways for emergency/trauma services patients. Facilitates changes in clinical practice based upon document research. Communicates with outreach physicians, hospitals, and EMS. Refers emergency/Services patients to in-house support services and/or community services as needed.

Participates in professional education activities and attends national-level activities and attends national-level emergency service/trauma seminars.

Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health

Remote Work Guidelines

Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

On-Site; No Remote

Chemical: Rarely less than 1 hour

Electrical: Rarely less than 1 hour

Infectious Diseases: Mechanical: Rarely less than 1 hour

Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour

Risk of Exposure to Blood and Body Fluids: Risk of Exposure to Hazardous Drugs: Occasionally 1-3 Hours

Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.

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