• Performs assessments utilizing a variety of assessment methods and/or area-specific tools.
• Performs patient care according to procedures/protocols. Anticipates impending emergent situations and intervenes effectively.
• Communicates with the family and members of the multidisciplinary team to identify health care needs. Communicates changes in patient status. Utilizes appropriate resources for referral or consultations.
• Keeps up to date in Emergency Medical Services (EMS) National scope of practice by utilizing current EMS and healthcare literature for information and problem solving.
• Evaluates the patient’s progress through continuous observation and assessment of responses to
• interventions, treatments, and therapies. Recommends revision in the care plan according to
• changes in patient needs.
• Incorporates current hospital and departmental quality initiatives into daily activities.
• Adheres to communication, service excellence and professional image standards that support the hospital mission and philosophy.
• Works cooperatively as a team member to foster achievement of unit/hospital goals.
• Identifies learning needs and seeks resources to advance EDP practice and achieve professional goals.
• Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others.
• Demonstrates knowledge of pertinent aspects and competency with protocols related to the use of chemical disinfection, high level disinfection, and sterilization if required as part of the responsibilities of the role.
• Non-Inpatient Emergency Assessment and Response (NEAR) team; respond, assess, and treatment non-inpatients patients utilizing Basic Life Support (BLS) Services, escalating to Advanced Life Support (ACLS) Services or Code Blue as necessary.
• Code Blue Team responder.
• Decontamination Team first responder; will initiated the Decontamination Response Plan as to not delay patient care until the Decontamination Team arrives.
• Integral member of the Trauma Response Team.
• Other job functions as assigned.
• Assist with the education and training of EMT students, registered nurses, medical students, residents and other trainees.
Area Specific Job Accountabilities
Airway & Breathing
• Excluding endo-tracheal intubation, maintains airway, applies oxygen, suction, nasal and oral airway adjuncts, provides ventilation using self-inflating bag-valve-mask
• Assists with endo-tracheal intubation and ventilation
• Provides CPR
• Administers albuterol and ipratropium bromide inhalation medications in accordance with the ED Asthma Algorithm.
Circulation
• Controls bleeding
• Applies CAT Tourniquet or Quick clot when appropriate.
• Utilizes automated external defibrillator
• Under direct supervision of an Emergency Department Attending Physician, performs external defibrillation and intraosseous needle insertion.
• Initiates peripheral intravenous line access and performs phlebotomy with the administration of 1% buffered lidocaine via jet injection (J-Tip®) in accordance with the “Standing Medical Orders” Emergency Department policy.
• Initiates ultrasound guided peripheral intravenous line access in accordance with the ‘Peripheral Intravenous Catheter Management Administrative Policy.” Must successfully complete initial training and competency from the Vascular Access Team Designee, and complete a yearly competency thereafter
• Administer 0.9 Normal Saline IV flush for the insertion of peripheral intravenous lines.
• Administer 0.9 Normal Saline push/pull boluses during trauma and resuscitations.
Deformity & Disability
• Maintains and applies cervical motion restriction, applies cervical collar, back board, Miami J products, and Kendrick Extrication Device
• Applies prefabricated soft and rigid splints, including HARE traction
• Assists with cast application
Environment of Care, Supplies, & Equipment
• Maintains a clean, well-supplied patient care environment
• Maintains equipment in working order
• Assures availability of all life support equipment and medical gas for department operation.
• Calibrates diagnostic and life support devices, e.g., ventilators, analyzers, and monitors.
• Troubleshoots and performs equipment repairs within department guidelines.
• Assembles equipment in preparation for patient use.
• Processes equipment for cleaning/sterilization in accordance with the Hospitals infection control guidelines and stocks respiratory care equipment.
• Replaces and maintains equipment set-ups in assigned areas according to department guidelines.
• Ensures appropriate functioning of equipment through rotation for preventative maintenance and repair.
• Sets up and maintains emergency standby equipment at patient’s bedside and/or designated areas.
Patient Monitoring
• Assess and document vital signs
• ECG monitoring and 12-lead ECG application
• Sp02 and ETCO2 monitoring
Procedural Interventions
• Administers general wound care, irrigation, cleansing and application of dressings. Ear irrigations
• Assists members of the patient care team with procedures including but not limited to endo-tracheal intubation, lumbar puncture, laceration repair, wound incision and drainage, phlebotomy, peripheral intravenous insertion, intraosseous needle insertion
• Provides patient and family education on the correct use of crutches, splints and other assistive devices
• Performs Point of Care Testing: blood glucose, urine dip, urine HCG, rapid strep, Hemoccult®, Gastroccult®.
Patient & Family Transport
• Transports and provides assessment, monitoring and documentation during patient and family transport to and from areas and services throughout the hospital.