Emergency Medical Tech

McCamey County Hospital District•McCamey, TX

About The Position

Provides direct patient care and operational support in a critical access hospital emergency department as a member of the care team. The position is intended for an individual with current Texas paramedic credentials. The employee performs assigned technician duties and additional approved skills only after MCHD orientation, documented competency, and authorization under applicable law, medical staff orders, and hospital policy. The RN retains responsibility for nursing assessment, planning, evaluation, and nursing supervision; the treating provider directs medical diagnosis and treatment. The technician receives assignments from the RN and communicates observations promptly, escalating urgent changes to the RN and treating provider. Duties include obtaining and recording observations, assisting with patient care and procedures, supporting emergency response, documenting care, and maintaining rooms and equipment. Enhanced paramedic skills may be performed only when specifically approved under the current MCHD role-specific skills matrix and applicable training, authorization, orders or protocols, competency, and supervision requirements. The role does not confer independent hospital practice authority or an RN, LVN, or provider license. The technician does not independently perform nursing assessments, create or revise nursing care plans, triage or assign acuity, make disposition decisions, prescribe, or provide unsupervised patient education or discharge instructions. Certain tasks—including medication administration, IV medication, invasive procedures, and advanced airway interventions—require separate written authorization and an approved order or protocol, competency, and supervision. The employee must decline and escalate tasks outside the approved role. The work involves a fast-paced emergency department environment, including exposure to critical illness, trauma, and distressed individuals. Physical demands include frequent standing, walking, patient handling, pushing and pulling equipment, bending, reaching, and fine motor activity. Reasonable accommodation may be used to perform essential functions.

Requirements

High school diploma or equivalent.
Completion of an accredited paramedic education program.
Current Texas paramedic license or certification in good standing.
Current BLS and ACLS; PALS and other emergency care credentials as required by MCHD.
Ability to read, write, speak, and understand conversational English sufficiently to communicate effectively, document accurately in the electronic health record, and follow written protocols and orders.
Clear verbal and written communication, safe patient-handling ability, ECG and emergency-equipment familiarity, electronic health record use, and effective teamwork during high-acuity events.
Sufficient near, far, color, and peripheral vision to read monitors, labels, documentation, and patient conditions; corrective lenses are permitted.
Sufficient hearing at normal conversational levels and for equipment alarms to receive instructions, communicate with the team, and respond to auditory cues; hearing aids are permitted.
Ability to follow written and verbal instructions promptly and accurately and to respond effectively during high-acuity events, resuscitations, trauma care, and rapidly changing conditions.
Ability to sustain attention, multitask, prioritize, and maintain emotional resilience in a fast-paced environment.
Ability to meet the described physical demands, including patient transport with assistance as indicated; team lifting and mechanical aids are expected for heavier loads or uncooperative patients. Essential functions may be performed with reasonable accommodation.
Must decline and escalate any task outside the approved role.

Nice To Haves

One year of paramedic or emergency care experience.
Hospital emergency department experience.

Responsibilities

Receive assignments from the RN, promptly communicate observations, and immediately escalate urgent changes in a patient's condition to the RN and treating provider.
Obtain and record vital signs, pain scores, blood glucose readings, weights, intake and output, and other assigned observations; recognize and promptly report abnormal findings.
Assist with rooming, positioning, safe transfers, transport, hygiene, comfort measures, fall precautions, and care for neonatal, pediatric, adult, and geriatric patients.
Obtain 12-lead ECGs, apply monitoring equipment, assist with oxygen delivery and airway equipment, and support resuscitation and trauma care within approved competency.
Collect and label specimens and perform point-of-care testing only when trained and authorized under laboratory policy and quality-control requirements.
Prepare rooms, supplies, and equipment for procedures; assist the RN and provider with wound care, splinting, immobilization, and other procedures within assigned competency.
Perform enhanced paramedic skills only when specifically listed in the current MCHD role-specific skills matrix and supported by documented training and competency, required orders or protocols, and the applicable supervision arrangement.
Document care and observations accurately and promptly in the designated record, record the responsible ordering provider, and communicate completed interventions to the RN.
Check, clean, restock, and maintain ED rooms, crash carts, and equipment; report equipment malfunctions and supply shortages.
Participate in handoff, emergency drills, education, quality improvement, and annual competency validation.
Use standard and transmission-based precautions, aseptic technique, and required personal protective equipment; maintain patient privacy and confidentiality under HIPAA and MCHD policy.
Follow MCHD policies, safety practices, incident-reporting requirements, and the current approved ED skills matrix; perform other duties assigned by department management within the authorized role.