Half-time 24 hours/week - Evenings
12 hour shifts 10am-10pm & 11am-11pm
The paramedic assists practitioners in the daily functions in the Emergency Department. The paramedic practices under the supervision, guidance, and instruction of a licensed physician, physician assistant, advanced nurse practitioner, or registered nurse who is immediately available and physically present. They perform tasks and procedures within the scope of practice outlined in this job description and in line with Colorado Revised Statute 25-35-103. Additionally, this position administers certain classes of emergency medications in accordance with the Rules and Regulations in the same statute. The paramedic may only provide functions identified in this job description. Medical direction is provided by the physician EMS Liaison.
Education or Formal Training
1. High School graduate or equivalent; higher degree or diploma preferred
Special Qualifications (Licensure, Registration, etc.)
1. Current certification in the State of Colorado as a Paramedic
4. ACLS Provider
5. PALS or PEPP provider
6. PHTLS certification within 6 months of hire, or upon the expiration of the current certification.
Knowledge, Skill and Ability
1. Ability to effectively communicate to patients, family, and co-workers
2. Basic knowledge of frequently used medical terminologies
3. Knowledge of policies and procedures related to Emergency Department
1. One year of experience as an EMT-P preferred
MATERIALS AND EQUIPMENT DIRECTLY USED
Standard medical/hospital equipment including: sphygmomanometer, wheelchairs, stretchers, positioning aids, 12 lead EKG, patient monitors, I-STAT, other laboratory instruments, breathalyzer, and other office equipment including computer, intercom, telephone, copy machine and fax machine.
WORKING ENVIRONMENT/PHYSICAL ACTIVITIES
1. Physical working environment may include, but not be limited to, any of the following hazards: chemical, electronic, mechanical, biowaste, explosive, radiation, etc.
2. Environmental conditions may include, but not be limited to, variations in temperature, noise, odors, etc.
3. While performing the duties of this job, the employee is required to constantly stand and walk. The employee frequently is required to stoop, crouch and twist. The employee is occasionally required to kneel, squat and sit.
4. The employee must be able to consistently support, push, pull and/or lift up to 10 pounds, frequently support, push, pull and/or lift up to 30 pounds and occasionally support, push, pull and/or transfer up to 50 pounds (for example, moving a patient from a wheelchair to a bed.)
5. Functional physical demands include manual dexterity, fine motor skills and reaching. The following senses will be needed for essential duties of the job: speech, vision, hearing, smell and touch.
1. Patient and family communication and appreciation of ENCORE! values are essential.
2. Directly responsible to the RN. Development of a team relationship is necessary.
3. Fosters and maintains a good working relationship with all other departments in the hospital as well as within the emergency department.
ESSENTIAL DUTIES AND RESPONSIBILITIES
1. Contribute to Emergency Department operations and efficiency
a. Assist CTL in utilizing department flow and patient placement throughout Emergency Department
b. Maintain competence in documentation and care of patients
c. Answer and receives patient reports from EMS on radio
d. Receive EMS hand off reports at facility
e. Utilize SBAR (Situation, Background, Assessment, and Recommendation) for communication
f. Able to cover desk coordination and function tasks for communication, notifications, order entry support
g. Attend meetings and in-services as required by departmental policy
2. Perform the following technical skills:
a. Vital Signs
b. Oxygen Administration, BLS airway adjuncts
c. Assist in airway management
d. Insertion of Foley catheters
f. Perform oral, endotracheal, and tracheostomy suctioning
g. Perform transcutaneous pacing in code situations
h. IV/ IO initiation and removal on all ages (including USGIV insertion with competency)
i. Initiation of crystalloid fluid via IV/IO, medication drip, and electrolyte infusions as specifically authorized in this Job Description
j. Splinting and wound care including application of topical anesthetic, wound irrigation, preparation of dressings and steri-strips
k. Patient specimen collections (nasal swabs, throat swabs, point of care monitoring, etc.)
l. Suture/staple removal
m. Medication administration of medications listed herein are considered to be within the scope of the ED Medic's Colorado Paramedic Certification and may be administered as ordered, unless otherwise stated in this Job Description
n. Medications not included in this Job Description may not be administered by an ED Medic
o. 12-Lead ECG acquisition
p. NG/OG placement and maintenance
q. Eye irrigation
r. Triage and assign ESI score
s. Documentation of Intake Screens and pertinent reassessments in EHR
t. Discharge ED patients within scope of care
u. Administer and monitor continuous infusion of IV crystalloid solutions (e.g. normal saline, lactated ringers, D5%, normal saline, etc.)
3. Medication Paramedic may administer. Medications listed may be given any route ordered and appropriate, unless specifically limited in this job description. If the medic is not permitted by this job description to administer a specific medication, or a specific route, the medic cannot follow the order and the order must be carried out by staff authorized to perform the service.
Albuterol (MDI, Inhaler)
Amiodarone -bolus only
Diltiazem (Cardizem) -bolus only
Epinephrine 1:10000 IV only
Epinephrine I :1000 - IM or SQ only
GI Cocktail: Maalox and Viscous Lidocaine and hycosamine
Ipratropium (MDI, nebulized)
L-Albuterol (MDI, nebulized)
Lidocaine - bolus infusion and continuous infusion
Lidocaine 1% or 2%- per protocol for I0 needle insertion
Lidocaine jelly topical
Magnesium sulfate - bolus only
Metaproterenol (MDI, nebulized)
Nerve agent antidote
Nitroglycerin - sublingual or topical paste only
Racemic epinephrine – nebulized
Topical Hemostatic agents
Verapamil – bolus only
4. Paramedics will not function as the primary care giver for emergent or critical patients as defined as activations, alerts, ESI Levels 1 or 2, or complex care including sepsis, DKA, or HACA.
5. PROHIBITED FUNCTIONS: An ED Medic MAY NOT perform the following functions even with the express and direct delegation or supervision of an Emergency Physician:
a. Initiate blood products
b. Access central lines
c. Bladder irrigation
d. Administer any medication not identified in this Job Description, or administering a medication by a route other than the route authorized in this Job Description
e. Receive verbal orders or phone orders from any physician (other than the ED physician)
f. Provide hand off report to another facility
g. Sign an EMS PCR for patient receipt (per CMS regulations)
h. Administering and monitoring continuous infusions (excluding IV crystalloid solutions such as normal saline, lactated ringers, DS ½ normal saline, etc.). ED-Medics can maintain an infusion for transport that has already been initiated and set up by the RN and does not require titration.
6. Employees are expected to comply with all regulatory requirements, including Joint Commission Standards.
7. Is familiar with organization, department and job specific Environment of Care areas, including Life Safety, Utilities Management, Hazardous Materials Communications, Emergency Preparedness, Infection Control and Medical Equipment Failure.
8. Adheres to Standard Precautions as appropriate, which may include:
a. The use of protective barriers, as appropriate (e.g., gloves, masks, gowns, pocket masks, and/or safety glasses);
b. Handling and disposing of infectious waste appropriately; and
c. Hand washing as appropriate
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