- Purpose of Job
- Provides appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment
- Job Requirements
- High School diploma or General Education Development (GED) required.
- Associate’s Degree in Paramedicine required
- Graduate of an accredited Emergency Medical Technician-Paramedic (EMT-P) training program required
- Graduate of an Paramedic Program required.
- Participate in mandatory in-services and continuing education programs as mandated by policies and procedures/external agencies and as directed by supervisor.
- Minimum of 1 year of Paramedic experience preferred.
- EMS-Paramedic providing service in the hospital is employed by or serving as a volunteer member of an Emergency Medical Service licensed by the Department.
- Must have current valid Paramedic Certification.
- Current American Heart Association Basic Life Support (BLS) Certification required.
- Current American Heart Association Advanced Cardiac Life Support (ACLS) Certification required.
- Current American Heart Association Pediatric Advanced Life Support (PALS) Certification required.
- Excellent interpersonal relations with patients, co-workers, physicians, and guests.
- Respectable technical skills to assure patients safety.
- Physical Requirements
- Weight Demands
- Medium Work - Exerting up to 50 pounds of force.
- Occasionally Performed (1%-33%):
- Frequently Performed (34%-66%):
- Distinguish colors
- Repetitive Motions
- Constantly Performed (67%-100%):
- Not Related:
- Electrical Shock/Static
- Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
- Rare (1-33%): - Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
- Occasionally (34%-66%):
- Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
- Explosives (pressurized gas)
- Frequent (67%-100%):
- Chemical agents (Toxic, Corrosive, Flammable, Latex)
- Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
- Mechanical moving parts/vibrations
- Note: Safety Officer can assist with identification of job hazards
- Essential Job Functions
- Essential Functions I
Provides appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment, as outlined in the Population Specific Criteria.
- Demonstrates ability to identify opportunities for and individualized customer service/patient care according to customer/patient needs.
Exhibits excellent interpersonal relations with patients, co-workers, physicians, and guests to ensure effective communication.
- Responds to patient needs promptly and courteously.
- Obtains feedback from patients and visitors regarding their hospital experience.
- Communicates patient issues to the appropriate staff. (RN/MD/Core/Mid-Levels)
- Maintains a positive attitude while responding to requests in a timely and accurate manner.
- Actively participates in report process.
Collects blood specimens by venipuncture or skin puncture. Collects Microbiological specimens. The collection of laboratory specimens is used to aid in the assessment of the patients medical condition. Laboratory specimens are collected using proper policies and procedures.
- Consistently performs correct patient identification.
- Consistently collects the appropriate amount of specimen in the correct container for the specified tests.
- Consistently labels all specimens with the required information.
- Consistently transports specimen to the laboratory in a timely manner using appropriate transport procedures.
- Accurately performs computer operations and record keeping pertaining to patient information and phlebotomy duties.
- Consistently observes all safety regulations.
Assists with maintaining an environment conducive to the comfort and recovery of the patient.
- Consistently assists in maintaining of needed equipment (scales, thermometers, etc.)
- Consistently assists in keeping unit as neat and tidy as possible.
- Consistently distributes linen and supplies to patient rooms when needed.
- Performs other duties as delegated and appropriate under the direction of the Service Leader and/or RN to include medication and blood pickup.
- Consistently answers call lights within 3 minutes.
Assists with or participates in certain procedures as directed by the RN and in accordance to nursing policy and procedure.
- Consistently assists in transfer and discharge of patients.
- Assist with procedures requiring additional monitoring or positioning (immobilization, application of immobilization devices (c-collar, splints, etc.)).
- Consistently takes accurate vital signs including O2 sat & pain assessment.
- Communicates any changes in patient's condition to Registered Nurse or Physician in a timely fashion.
Assists patients in activities, as directed by the Registered Nurse.
- Consistently assists with ambulation of patients.
- Transport patients to inpatient units requiring telemetry.
- Transports patients to other areas as needed including non critical telemetry patients
- Consistently assists with squad patients by changing patient into gown and initiating vital signs.
- Consistently performs hourly rounding.
- Participates in disaster drills and real events per the ED Core Coordinator's direction
Directly responsible to the staff nurse and assists in the care of the patient by performing delegated activities utilizing the reciprocal process of the 4 Rights of Delegation.
- Right task (within the scope of practice, according to the job description, and based on the desired outcome, task routine, non-complex, low risk and predictable outcome.)
- Right person (assess competency by certification/licensure, job description, skills checklist, demonstrated skill.)
- Right communication (clear, concise, correct, complete.)
- Right feedback: the Reciprocal Process (timely, specific, checkpoints.)
Performs technical skills competently and independently to assure patient safety. (Autonomy)
- Able to competently perform technical skills independently.
- Is accountable to learn new skills and equipment within areas' specifications and time frame.
- Initiate insertion of peripheral intravenous catheter & IO.
- Administer IV fluids.
- Administer oral/ IV/ IM injections per Medical Director's approval.
- Administer aerosol treatments. Assist with CPR as directed by primary RN to include chest compressions and ventilation.
Maintains a professional behavior in attitude, demeanor, interactions to achieve organization's mission. (Quality Improvement, Interdisciplinary Relationships, Professional Development, community and the healthcare organization.)
- Communicates effectively to solve problems at the personal and unit level.
- Is approachable and professional in working with other health professionals, ancillary staff, patients and family.
- Takes pride in the unit by active participation in restocking and maintaining a clean environment.
- Maintains a professional appearance, behavior, and work environment.
- Maintains competence in area of experience.
- Participates in meetings and/or committees as needed to assist in decisions effecting area/ unit or organization.
Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (i.e., falls, needle sticks, patient concerns.) (Quality of Care)
- Completes appropriate report form for any risk (e.g., incident report, patient concern report, maintenance request.)
- Communicates to appropriate personnel regarding unresolved issues.
- Works within the scope of practice as defined by Nebraska Department of Health & Human Services.
Provides assistance with special projects.
- Assists with orientation, training new personnel, and performance improvement.
- Utilizes information systems to facilitate communication and documentation.
Performs ongoing assessments to determine the assigned patient's needs and implements interventions under the direction of the RN/MD.
- Includes data from the patient/significant other(s) in the assessment as appropriate.
- Prioritizes data collection according to patient's immediate needs.
- Is familiar with, and follows, paramedic protocols and standards of care for their unit.
- Uses current knowledge in paramedic practice based on standards and research literature.
- Consistently provides patient with bedpan, urinal, etc. as appropriate and provides pericare when indicated.
- Consistently gives cleansing or retention enemas.
- Consistently observes, measures, and records all output to include NG, ostomies, foley, drains, bowel movements, etc.
Essential Functions II
Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.
Follows and understands the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.
Other duties as assigned.