Paramedic

Summary

I. Position Summary:

Assists professional nursing staff by performing specific patient care tasks, within the scope of practice for a Paramedic. Provides a variety of direct patient care, technical and clinical functions at the patient's bedside under the supervision of a Registered Nurse Demonstrates the ability and knowledge to assist in-patient care to meet the Emergency Department standards of practice.

II. Position Relationships

• Responsible to: Divisional Director of Emergency
  
  

Services, Director of Emergency Services

Nurse Director, Charge Nurse and RN's

• Workers Supervised: None
• Interrelationships: The Paramedic has frequent interactions with
  
  

patients, families, visitors, physicians, nursing staff and other hospital personnel.

Responsibilities

III. Responsibilities and Authorities:

• Performs other duties as assigned by the department's management staff.
• As patient care and/or Hospital need dictates, both the assigned shift and work station may be changed by the department.
• Participates in and promotes the "I CARE Advantage" service philosophy of Integrity, Customer Centered, Accountability, Respect and Excellence.
• Performs essential job functions with or without reasonable accommodations.
• Prepares room, cubicles and specialty care areas for patient use. Organizes stock room so items are readily available and easy to find.
• Clean beds between patient use.
• Restock patient rooms as needed (supplies and OSHA packs). Check stock room daily.
• Check/set up oxygen or pulse oximeter for patient use.
• Check/set up cardiac monitors for patient use.
• Organizes clean utility room so stock is readily available and easy to find when needed.
• Assists in and accompany patients in transfer and discharge procedures.
• Transports patients via w/c or carrier to room for triage.
• Assists EMS with patient transfers to and from carrier including patients on backboards.
• Assists RN with monitored transport to CCU/ICU.
• Assists with transport to and from personal vehicle.
• Place patients on cardiac monitor, oxygen and pulse oximeter as needed (in appropriate areas).
• Transfers monitored patients to Telemetry.
• Transfer Medical/Surgical patients to the appropriate Unit.
• Provides patient care.
• Takes accurate vital signs on all ages.
• Accurate weight on all children.
• Assists with dressing/undressing patients.
• Positions patient as needed for comfort/treatments.
• Assists patients with bedpan, urinal or commode.
• Performs CBG, and other point of care testing.
• Performs routine treatment procedures.
• Clean and dress wounds; using tube gauze, xeroform, telfa pads or other necessary bandages. Discontinue IV's or saline locks as instructed. Set up suture sets for physicians using sterile technique.
• Place arm slings, Velcro splint (ankle, wrist, knee), shoulder immobilizer, clavicle splint, OCL & Orthoglass splints (after training and competency checks).
• CBG's and point of care testing (after training and competency checks).
• Phlebotomy (after training and competency checks completed).
• 12 lead EKG's (after training and competency checks).
• Starts IVs, external jungular IVs, Saline Locks abd UIs in accordance with Paramedic/Intermediate skills and completion of competency checkoff within scope of practice.
• Assists nurse/physician with complicated treatment procedures.
• Chest compressions during Code Blue.
• Restraining patients, lavaging patients, assist with chest tube placement or intubation of patients.
• Assist with large lacerations.
  
  

The above statements reflect the key responsibilities considered necessary to describe the principle functions of the job as identified, and shall not be considered as a detailed description.

IV. Performance Factors Used To Evaluate Employee

• Perform specific patient care functions to the following patient age categories (circle all that may apply):
• Newborn/infant 4. Adult
• Pediatric (0-16 y.o.) 5. Geriatric
• Adolescent
  
  

In Conjunction With The RN

• Reviews, collects and documents patient data; reports patient/family status change to RN.
• Demonstrates ability to perform technical skills accurately and within a reasonable time frame.
• Reinforces patient and family education.
• Maintains a clean and safe patient environment.
• Demonstrates good verbal and written communication skills; documents and reports clearly.
• Respects patients' rights and confidential information.
• Supports and practices in accordance with Hospital policy, procedures and protocols.
• Qualifications:
• Education:
  
  

Current Texas Paramedic certification or license

• Training and Experience:
  
  

Two years experience in-field training. BLS Certification required within 90 days of hire and must maintain. Maintains ACLS & PALS Certification.

VI. Unusual Physical Demands And Working Conditions

• Ability to work under stress.
• Ability to perform heavy lifting; sustained walking for extensive periods of time.
• Ability to pull, push, lift, and manipulate equipment and patients.
• Exposure to infectious diseases.
• Varied working hours and shifts.