Paramedic

The Paramedic participates as a member of the nursing staff by performing various assessments, treatments and technical task as requested. Under the supervision of the Registered Nurse, the Paramedic assists with the delivery of non-critical and critical emergency care within the limits of his/her training, and documents that care in accordance with hospital policies and procedures.

Essential Job Functions*:

• Provides advanced emergency care in the hospital setting.

• Assesses emergency patients and assigns appropriate triage level.

• Assists with patient transport.

• Assists with room cleaning and turnover.

• Collects and documents data on Emergency Department records including but not limited to vital signs (blood pressure, pulse, respiration, temperature, oxygen saturations, height/weight and peak flows).

• May perform all procedures with in the scope of the Paramedic license and as in accordance with hospital policies and at the direction of a provider, including:

• cardiac monitoring including cardio version and defibrillation

• moderate sedation

• assistance with Rapid Sequence Inductions (RSI)

• IV insertion and maintenance

• cast application and removal

• oxygen therapy

• setting up sterile procedures

• ear irrigations

• initial care and treatment of burns as well as follow-up care and debridement

• cleans and dresses wounds

• blood draws (except legal samples)

• nasal and oral intubation at the direction of a provider

• intraosseous insertion and infusion

• gastric lavage

• foley catheter insertion and removal

• patient teaching on the use of crutches, splints, dressings and wound care

• Documents all assessment and care given in accordance to hospital policy.

• Assists with emergency procedures including but not limited to a-line and chest tube insertion, lumbar punctures, thoracentesis and central lines.

• Administer all medications listed and approved by the state for Paramedics.

• Administer medications categories below that are not on the state list:

• Narcotic pain medications, oral, IV or IM.

• IV Piggy back antibiotics and antiemetics not currently on the approved state list.

• Immunizations

• IV thrombolytics with nurse/provider in attendance.

• High risk medications with a nurse serving as the second check

• Over the counter medications

• Blood products with a nurse.

• Witness narcotic waste and serve as the second check for high risk medications and blood products.

• Performs ACLS procedures per license.

• Provide care and assistance as needed for critical care transports.

• Attends and participates in hospital/departmental meetings as required.

• Complies with hospital and departmental policies, procedures, regulations and standards as related to job.

• Demonstrates hospital’s stated mission and values of teamwork, respect and communication with co-workers, patients, families and visitors.

• Actively and appropriately participates in problem-solving identification and resolution, both intra- and inter-departmentally.

• Meets department customer service standards and strives to enhance the level of customer service provided.

Qualifications:

• Education

Required: High School Graduate or equivalent

Completion of an approved Paramedic Program

• Work Experience

Required: Experience in a health care setting.

Preferred: Three to five years experience in a hospital setting serving the same age/type of patient population.

• Licensure/Certifications/Registrations

Required: Must be a certified EMT-P (Paramedic) in the State of New Hampshire. Have current BLS certification (adult, child, and infant), PALS and ACLS.

Preferred: Specialized trauma courses.

• Other Skills/Knowledge

Required: Ability to respond appropriately to changing patient and staffing conditions. Demonstrated ability to make independent judgments in times of need along with the ability to seek guidance and/or support from appropriate resources.

Computer literacy. Ability to write clearly and concisely. Excellent interpersonal and communication skills. Ability to give and accept feedback in a constructive manner.