Paramedic or ER Registered Nurse

Full-time, Part-time, or PRN available. Call hours and transfers required, inquire with HR for details. 

POSITION PURPOSE:
Provides care to patients utilizing the developed plan of care. The Paramedic will also provide emergency medical care to patients presenting that are acutely ill or injured.

QUALIFICATIONS:

• Current Paramedic License (EMT-P) in the State of Nebraska
• Basic Life Support (BLS)
• Advanced Cardiac Life Support (ACLS)
• Previous Paramedic experience preferred

GENERAL REQUIREMENTS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and / or ability required:

• Ability to add, subtract, multiply, and divide
• Ability to generate, read, interpret, and take action as it relates to basic financial statements, national and state regulations, safety rulings, operational and maintenance and organizational policies / procedures
• Ability to write reports and correspondence
• Ability to effectively present information to patients, families, employees, health care providers, etc...
• Ability to work cooperatively and communicate effectively to maintain good working relationships with staff and health care providers
• Ability to work with skill in identifying problems; making frequent decisions regarding method of performance

EQUIPMENT, TOOLS, MATERIALS:

• Calculator
• Computer and printer
• Fax and copy machine
• General office materials/supplies
• Information Systems
• Telephone system
• All Patient Care Equipment
  • IV pumps, lifts, beds, monitors, computers, glucometers, etc

SECURITY/ACCESS:

• Will have access to the facility 24 hours a day.
• Will have access to confidential information abiding by the organizations privacy policies and regulations concerning this information.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:

1. Performs evaluation/assessment of patients in an efficient and effective manner.
   • Performs comprehensive patient assessments.
   • Assesses and monitors pain. Uses and recommends appropriate pain management techniques.
   • Makes appropriate judgments of patients' needs, medical interventions and results.
   • Reviews, discusses and implements health care provider orders appropriately and takes appropriate measures if there are questions.
   • Responds to call lights and patient needs in a timely fashion.
   • Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action.
   • Serves as a patient advocate.
   • Performs patient rounding for all patient assignments.
   • Evaluates patient progress toward desired outcomes prior to discharge.
   • Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner.
2. Collaborates with health care providers to coordinate medical and nursing management of patient care.
   • Promotes team concept through effective communication regarding patient condition, patient care plan and patient satisfaction with appropriate individuals that are involved in the patient's care.
   • Works effectively with ancillary areas as part of the team approach to patient care.
   • Directs patient support team members effectively and appropriately.
   • Demonstrates initiative and flexibility in the provision of patient care.
   • Informs and involves Director of Nursing regarding patient care issues in a timely and appropriate manner.
   • Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit.
   • Completes patient and family education throughout the patient's stay and at discharge.
3. Performs efficiently and safely within scope of practice.
   • Administers medications and treatments according to or as ordered by, the health care provider.
   • Performs procedures as directed or ordered by the provider.
   • Demonstrates knowledge and use of precautions and safety guidelines for the care and protection of the patient and staff.
   • Utilizes proper body mechanics, transfer/lifting techniques.
4. Collaborates with all members of the healthcare team to coordinate the medical care of the patient.
   • Communicates and works with all areas of personnel of the hospital as part of the team approach to the care of the patient.
   • Demonstrates initiative and flexibility in carrying out assignments and responsibilities.
   • Demonstrates appropriate response to and resolution of conflict or potential conflict.
   • Demonstrates commitment to patient care and safety as a first priority.
   • Demonstrates support for the hospital mission, strategic plan and public image.
5. Performs and maintains documentation.
   • Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge.
6. Communicates effectively.
   • Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes.
   • Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider.
7. Promotes and ensures patient and staff safety in all aspects of responsibilities.
   • Administers medications, treatments and procedures in a timely and safe manner according to the health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift.
   • Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self.
   • Implements infectious disease controls as appropriate including isolation procedures, proper use of hand washing and gloves.
   • Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials.
8. Follows HIPAA regulations and ensures that the confidentiality of patients medical, personal, financial records, employee records, and organizational records is maintained.
9. Participates in FCH committees, quality assurance, performance and quality improvement initiatives, and activities which support the facility and department operations.
10. Complies with the state and federal regulatory requirements related to the performance of FCH operations and requirements of the FCH Compliance Program. Including but not limited to:
    • The Compliance Policy.
    • Completes all on-line training annually and as assigned.
    • All department and organization-wide policies.
    • Considers the impact of regulations such as Critical Access Hospital requirements, along with Federal and State of Nebraska regulations and discusses concerns appropriately to ensure compliance.
11. Presents self in a professional manner and enhances professional growth and development through participation in education programs, current literature, in-service meetings and workshops.
    • Seeks opportunities for continued growth and performance improvement.
    • Always maintains a professional appearance and manner.
    • Dependable and completes work in a timely manner.
    • Demonstrates an understanding and emphasis on quantity, quality and knowledge of duties and tasks.
12. Performs other duties as assigned.

ESSENTIAL STANDARDS OF SERVICE EXCELLENCE:

1. Abides by Fillmore County Hospitals Standards of Professional Courtesy and Respect which include:
   • Communication & Interaction
   • Customer Service & Respect
   • Teamwork
   • Telephone Communication
   • Safety, Pride &Ownership
   • Professional Appearance
2. Abides by Fillmore County Hospitals Core Values 1-12 which include:
   • Authenticity
   • Integrity
   • Awareness
   • Courage
   • Perseverance
   • Faith
   • Purpose
   • Vision
   • Focus
   • Enthusiasm
   • Service
   • Leadership

ESSENTIAL WORK ENVIRONMENT & PHYSICAL REQUIREMENTS:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

POSITION PURPOSE:
Provides care to patients utilizing the developed plan of care. The Paramedic will also provide emergency medical care to patients presenting that are acutely ill or injured.

QUALIFICATIONS:

• Current Paramedic License (EMT-P) in the State of Nebraska
• Basic Life Support (BLS)
• Advanced Cardiac Life Support (ACLS)
• Previous Paramedic experience preferred

GENERAL REQUIREMENTS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and / or ability required:

• Ability to add, subtract, multiply, and divide
• Ability to generate, read, interpret, and take action as it relates to basic financial statements, national and state regulations, safety rulings, operational and maintenance and organizational policies / procedures
• Ability to write reports and correspondence
• Ability to effectively present information to patients, families, employees, health care providers, etc...
• Ability to work cooperatively and communicate effectively to maintain good working relationships with staff and health care providers
• Ability to work with skill in identifying problems; making frequent decisions regarding method of performance

EQUIPMENT, TOOLS, MATERIALS:

• Calculator
• Computer and printer
• Fax and copy machine
• General office materials/supplies
• Information Systems
• Telephone system
• All Patient Care Equipment
  • IV pumps, lifts, beds, monitors, computers, glucometers, etc

SECURITY/ACCESS:

• Will have access to the facility 24 hours a day.
• Will have access to confidential information abiding by the organizations privacy policies and regulations concerning this information.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:

1. Performs evaluation/assessment of patients in an efficient and effective manner.
   • Performs comprehensive patient assessments.
   • Assesses and monitors pain. Uses and recommends appropriate pain management techniques.
   • Makes appropriate judgments of patients' needs, medical interventions and results.
   • Reviews, discusses and implements health care provider orders appropriately and takes appropriate measures if there are questions.
   • Responds to call lights and patient needs in a timely fashion.
   • Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action.
   • Serves as a patient advocate.
   • Performs patient rounding for all patient assignments.
   • Evaluates patient progress toward desired outcomes prior to discharge.
   • Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner.
2. Collaborates with health care providers to coordinate medical and nursing management of patient care.
   • Promotes team concept through effective communication regarding patient condition, patient care plan and patient satisfaction with appropriate individuals that are involved in the patient's care.
   • Works effectively with ancillary areas as part of the team approach to patient care.
   • Directs patient support team members effectively and appropriately.
   • Demonstrates initiative and flexibility in the provision of patient care.
   • Informs and involves Director of Nursing regarding patient care issues in a timely and appropriate manner.
   • Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit.
   • Completes patient and family education throughout the patient's stay and at discharge.
3. Performs efficiently and safely within scope of practice.
   • Administers medications and treatments according to or as ordered by, the health care provider.
   • Performs procedures as directed or ordered by the provider.
   • Demonstrates knowledge and use of precautions and safety guidelines for the care and protection of the patient and staff.
   • Utilizes proper body mechanics, transfer/lifting techniques.
4. Collaborates with all members of the healthcare team to coordinate the medical care of the patient.
   • Communicates and works with all areas of personnel of the hospital as part of the team approach to the care of the patient.
   • Demonstrates initiative and flexibility in carrying out assignments and responsibilities.
   • Demonstrates appropriate response to and resolution of conflict or potential conflict.
   • Demonstrates commitment to patient care and safety as a first priority.
   • Demonstrates support for the hospital mission, strategic plan and public image.
5. Performs and maintains documentation.
   • Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge.
6. Communicates effectively.
   • Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes.
   • Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider.
7. Promotes and ensures patient and staff safety in all aspects of responsibilities.
   • Administers medications, treatments and procedures in a timely and safe manner according to the health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift.
   • Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self.
   • Implements infectious disease controls as appropriate including isolation procedures, proper use of hand washing and gloves.
   • Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials.
8. Follows HIPAA regulations and ensures that the confidentiality of patients medical, personal, financial records, employee records, and organizational records is maintained.
9. Participates in FCH committees, quality assurance, performance and quality improvement initiatives, and activities which support the facility and department operations.
10. Complies with the state and federal regulatory requirements related to the performance of FCH operations and requirements of the FCH Compliance Program. Including but not limited to:
    • The Compliance Policy.
    • Completes all on-line training annually and as assigned.
    • All department and organization-wide policies.
    • Considers the impact of regulations such as Critical Access Hospital requirements, along with Federal and State of Nebraska regulations and discusses concerns appropriately to ensure compliance.
11. Presents self in a professional manner and enhances professional growth and development through participation in education programs, current literature, in-service meetings and workshops.
    • Seeks opportunities for continued growth and performance improvement.
    • Always maintains a professional appearance and manner.
    • Dependable and completes work in a timely manner.
    • Demonstrates an understanding and emphasis on quantity, quality and knowledge of duties and tasks.
12. Performs other duties as assigned.

ESSENTIAL STANDARDS OF SERVICE EXCELLENCE:

1. Abides by Fillmore County Hospitals Standards of Professional Courtesy and Respect which include:
   • Communication & Interaction
   • Customer Service & Respect
   • Teamwork
   • Telephone Communication
   • Safety, Pride &Ownership
   • Professional Appearance
2. Abides by Fillmore County Hospitals Core Values 1-12 which include:
   • Authenticity
   • Integrity
   • Awareness
   • Courage
   • Perseverance
   • Faith
   • Purpose
   • Vision
   • Focus
   • Enthusiasm
   • Service
   • Leadership

ESSENTIAL WORK ENVIRONMENT & PHYSICAL REQUIREMENTS:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.