Paramedic- Per Diem

Covenant Health•Nashua, NH

3d•Onsite

About The Position

Under the direction and guidance of the Emergency Department Medical Director, and the general supervision of the Emergency Department Nursing Director, and in accordance with the standards of care and practice referenced by St. Joseph Hospital’s unit/departmental policies and procedures, the paramedic performs various functions. The primary responsibility for an individual patient will remain with the assigned RN. This role involves performing standard assessments, identifying patient care priorities, reassessing patient status, and reporting changes to the appropriate RN or ED physician. Responsibilities include initiating and maintaining IV and IO access lines, performing blood draws, removing lines, obtaining and interpreting EKGs, recognizing and reporting abnormal cardiac rhythms, performing endotracheal intubation as requested by the ED Physician, obtaining and evaluating FSBG, wound dressing application, obtaining clean catch urine, transporting patients, administering medications, setting up suture sets, splint application, order entry, and restocking supplies. The role also includes triaging and discharging patients, maintaining confidentiality, communicating verbally and in writing, documenting in the electronic medical record, serving as a patient advocate, monitoring department cleanliness and safety, ensuring patient comfort, collaborating with the ED Team, paying attention to patient needs, interacting positively with team members, respecting patient culture, lifestyle, religion, and age, and accepting constructive criticism.

Requirements

Current New Hampshire Paramedic license required.
Advanced Cardiac Life Support certification required.
Pediatric Advanced Life Support required.
Basic Cardiac Life Support certification required.
Point of care competencies (urine dip, glucose monitoring, fecal occult)
IV competencies
EKG/Defibrillation with Arrhythmia recognition
Venipuncture competencies
IO insertion/removal
Ranger fluid warmer
Bair hugger
Therapeutic hypothermia
Wound care
Burn care
Splint application
CPI Certification
Learning and Leadership Development Academy modules, as assigned

Nice To Haves

Successful completion of Paramedic level training strongly preferred.
Five years as a practicing pre-hospital Paramedic preferred.

Responsibilities

Perform standard assessments using basic and complex equipment
Based on assessments, identify patient care priorities
Reassess patient status/needs at appropriate intervals
Report patient status changes/needs to appropriate RN or ED physician/treating clinician
Initiate/maintain IV access lines in ED and other patient areas, excluding central lines
Initiate/maintain intraosseous (IO) access lines with physician approval
Perform blood draws and send to lab according to policy
Removal of IV/IO lines
Obtain and interpret 12 lead EKG and present to ordering provider
Recognize and report abnormal cardiac rhythms to treating provider
Perform Endotracheal intubation as requested by the ED Physician
Obtain and evaluate FSBG
Wound dressing application
Obtain Clean Catch Urine
Transport patients to other departments or inpatient rooms including Telemetry
Administer medications, as appropriate, as ordered by ED physician/treating clinician
Set up suture sets
Splint Application
Order entry using RN Symptom-Based Order Guidelines
Restocking of supplies as needed
Triage Patients
Discharge Patients
Maintains confidentiality
Able to communicate verbally and in writing
Communicate patient status or needs to RN or ED physician/treating clinician, as needed
Document procedures, medications, etc. in electronic medical record
Serve as patient advocate as needed
Monitor department for cleanliness and safety issues and report as appropriate
Meet standards of job analysis form
Ensure patient comfort
Collaborate with ED Team to expedite care
Pay attention to patient needs
Interact positively with members of team, other departments and services
Respect patient’s culture, lifestyle, religion and age when planning or implementing care
Accept constructive criticism and channels emotional reaction in a positive manner
Other duties as trained and credentialed