Nursing Paramedic / Emergency Care Center / Full Time

Description
Summary:
Emergency Care Center Technician Senior works with the RNs in the Emergency Room to provide care to patients. They have special skills beyond those of a basic Emergency Technician;
for example, they can perform venipuncture, dress wounds, remove staples and sutures, and measure peak expiratory flow rate.
Responsibilities:

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Gives basic care to patients in a compassionate manner.
Takes and records the following vital signs and reports any change or abnormal findings to the RN: Temperature, pulse, respiration rate, and blood pressure.
Gives the following treatments, maintaining respect for patient’s privacy: weigh patient, test urine (acetone, sugar, blood), apply warm/cold compresses, apply ice caps, and care for the body after death.
Collect specimens according to RN’s instructions and to the procedure. Urine and stool specimens are labeled and taken to the lab. Also performs Accuchecks/blood sugar.
Assists patients to and from the bathroom.
Positions patients according to RN’s instructions (fowler, semi-fowler, etc.) and changes position as frequently as ordered and using good body mechanics.
Assists with stringing IVs under the direction of the Emergency Department nurse.
Assumes certain nursing functions and responsibilities under the guidance of a Licensed nurse.
Is responsible for the following in the admission of the patient: bringing the patient to the room from admitting or ER as needing; assisting the patient to bed and applying armband; obtaining and reportingto RN vital signs, height, weight, and history of allergies; assuring patient is comfortable and orientated to surroundings; and assisting RN with an initial interview.
Is responsible for instructing and explaining the following in patient/family orientation: call signal, smoking policy, and side rail policy. Is responsible for the following inpatient discharge: helps patient collect personal belongings; takes patient per wheelchair to lobby or car; and removes all equipment from the room, cleans, and returns to SPD or a storage area.
responsible for the following in transferring patients.
Collects patient's personal belongings, assembles equipment to go with the patient, accompanies the patient to a new room, and stays with the patient until floor nurse enters the room.
Is respectful to patient’s right to privacy and confidentiality: knocks before entering the room, does not expose patient unnecessarily in giving care, closes the door when giving a treatment, and keeps patient information confidential.
Answers call lights promptly and with a pleasant, helpful attitude.
Observe the RN performing the following procedure and nursing functions. Then after a satisfactory return demonstration to the RN, the EDT may perform procedure and nursing functions independently, under the direction of the RN.
Check restraints frequently to make sure the patient has not removed them or that they are neither too loose nor too tight. Obtains permission of RN before removing them for any reason.
Notifies RN of any “beeping” infusion pumps. Checks fluid level in the bag and notifies RN when it is low.
Notifies RN immediately if any swelling, redness, or if the patient complains of anything. Assembles IV equipment.
without receiving instruction from the ER Nurse.
Inserts Foley catheter using good technique and displaying proper knowledge about catheterizing patients.
Assures that there is no pull on the catheter while giving care. Assures that there are no kinks in the catheter or loops that fall down below the level of urine in the drainage bag. Assists the RN in giving Foley catheter care. Collect specimens as instructed by RN.
Is conscious of maintaining a sterile atmosphere by knowledge of sterile technique.
Demonstrates proper cleansing and preparation of wounds. Can properly assist physicians with suture repairs.
Can properly suction secretion/fluid from mouth, throat, and nose.
Is knowledgeable in shock management by knowing properly apply pressure to a bleeding wound. Can properly apply pneumatic anti-shock trousers.
Can properly apply cardiac monitor (EKG) leads.
Can properly handle fractures and apply splints and slings as physician orders. Can fit the patient's crutches properly. Knows and utilizes proper body mechanics.
Understand the importance of the “No Smoking” sign on the door. Replace the mask or cannula if they become displaced. If the tent is in use, ensure that the ends of the tent are tucked in at all times. Promptly reports to RN if the patient complains or looks like having difficulty breathing.
Assists physician with application of casts and splints. Assumes position of the limb is maintained as instructed by RN. Notices swelling, coldness, redness, or discoloration of toes or fingers and reports to RN. Reports any bleeding through the cast or complaints of pain to the RN.
Ensures side rails remain up and the patient remains in a bed after the pro-op medication is given.
Applies anti-embolic hose appropriately and in the correct size.
Assist in moving the patient to the stretcher.
Safely performs surgical shaves and preparation of skin.
Takes vital signs as requested by RN for post-op care. Assists with turning, coughing, and deep breathing as instructed by RN.
Can properly perform EKGs.
Performs phlebotomy skills.
Contributes toward maintaining a clean, safe environment for the patient and assumes certain responsibilities for the care and use of equipment.
Ensures beds are in low position except when raised to give care and are locked at all times.
Adheres to procedures for transferring patients to chairs, wheelchairs, and stretchers and in transporting patients in wheelchairs and stretchers.
Ensures that the stretcher is locked.
Ensures that there is a clear pathway from patient door to bedside at all times.
Assists in maintaining a clean environment by practicing good hand washing.
Adheres to isolation procedures.
Reports condition of un-cleanliness on the unit to Shift Coordinator.
Knows the use and operation of equipment he/she is required to use.
Knows the care and location of all other equipment used on the unit.
Uses supplies economically and only for the use intended.
Knows how to stock and maintain equipment in the department.
Job Requirements:

Education/Skills
~ Certification required.

Experience
~ Two (2) years of patient care experience in an acute care hospital or EMT field/Emergency Care Setting required.

Licenses, Registrations, or Certifications
EMT license required.
BLS required.
Work Type:

Full Time