Paramedic (FLEXI)

SummaryThe Cardiovascular Services Paramedic is responsible for assisting in the Cardiovascular Holding Area for direct patient care under the guidance and direction of a registered nurse. Activities are based on accepted standards of Cardiac, Radiology, and outpatient practice, and are performed within the scope of education, training, and experience of the technician.Essential Duties and ResponsibilitiesThese duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.Perform concepts of aseptic technique according to hospital policy, procedures, and the aseptic technique competencyCollect necessary instruments and supplies, and anticipate additional supplies or equipment that may be neededMaintain adequate supplies and equipment, restocking when necessaryAssure the pre‑op/recovery rooms are properly prepared prior to the caseFollow established routines and utilize supplies and equipment in a cost‑effective mannerDemonstrate the ability to operate equipment in the Cardiovascular Holding AreaReport breaks in aseptic technique, or other needs/problems, immediately to the Charge NurseAseptic TechniquePerform concepts of aseptic technique according to hospital policy, procedures, and the aseptic technique competencyCollect necessary instruments and supplies, and anticipate additional supplies or equipment that may be neededMaintain adequate supplies and equipment, restocking when necessaryAssure the pre‑op/recovery rooms are properly prepared prior to the caseFollow established routines and utilize supplies and equipment in a cost‑effective mannerDemonstrate the ability to operate equipment in the Cardiovascular Holding AreaReport breaks in aseptic technique, or other needs/problems, immediately to the Charge NurseEKG/Laboratory ServicesDemonstrate competency in operating electrocardiogram equipment (12‑Lead EKG and EKG monitors)Demonstrate proficiency and accuracy in identifying lethal cardiac arrhythmiasCalibrate machine and load graph paperDemonstrate competency in determining orthostatic blood pressuresTransport specimens to the lab, as requiredPerform blood glucose monitoring, urine pregnancy tests, ISTAT Chem 8, PT/INR, and ACT (Point of Care Testing)Transport patients to and from inpatient care areas following departmental guidelinesPerform phlebotomy services on patients, as neededPrepare specimens to be sent to consulting laboratoriesPerform computer data entry for lab specimensObtain blood products from the Blood BankGeneral Patient CareDemonstrate skills and judgment necessary to implement interventions and procedures for total patient care, as delegated by the RN or standing protocolEnsure that vital signs are taken and recorded as directedAccurately notify nurse and appropriate health care team of pertinent changes in patient's condition; initiate basic definitive care or life support measures under the supervision of an RNDocument vital signs and procedures performed in the Cardiovascular Holding AreaPatient PrepGreet and provide appropriate direction to every patient entering the Cardiovascular Holding AreaBed assignments are to be made in accordance with physical and psychological needs, as well as factors influencing flow through the departmentBring patients from waiting areas based on the direction of the Charge Nurse or Triage Nurse, and prepare patient for examinationDocument and/or report clinical findings to the RN in a timely fashionAssist the EMS/RN staff with transferring patients to bedsAdvanced Skills (ACT III/Paramedic)Peripheral Intravenous Therapy – Provide essential components of care for patients requiring initiation of peripheral intravenous therapy, noting criteria in peripheral intravenous therapy nursing competencyRespiratory Care – provide oral, external only suctioning from trach and other airways(s); monitor patients receiving HHN treatments; listen to breath sounds and report findings to the appropriate RN or Charge Nurse; insert oral airway or nasal trumpet airway under the direction of an RN or MDUrethral Catheterization – Provide essential components of care for patients requiring initiation of urethral catheterization, noting criteria in urethral catheterization nursing competencyArterial and Venous Removal – Provide essential components of care for patients requiring removal of arterial and/or venous sheaths, noting criteria in the removal or arterial and venous sheath Cardiac Cath Department policyProvide transfer and evaluation of telemetry patients to ACS when transporting to and from patient roomsMaintain and promote effective relationships with peers, physicians, patients, families, and other hospital departmentsMay function as a scribe in acute situationsAccurately document all procedures and/or interventions in the cardiovascular flow‑sheet, and report to the responsible RN or Charge NursePerform code cart/code room check‑offs in log bookAssist peers with assignments, as needed, to assist in maintaining smooth and efficient workflow within the Cardiovascular Holding Area; perform additional duties, as necessary, at the request of the RN or Charge NurseAssure a safe environment for all patients, staff, and visitors by following all safety precautions and procedures in the performance of job dutiesLimitations of RoleAlways function within skill level guidelines. The Paramedic DOES NOT:Administer medication (oral, rectal, topical, IV/IM SQ, OTC, HHN, ear, or eye medications)IntubationEJ/IJ, CVL/PICC line access, manipulation, and/or flushingABGsTracheal/Endotracheal tube manipulation or suctioningDefibrillation, and any other electrical cardiologyManipulate monitor alarm limits or settingsAdditional ResponsibilitiesAttend required hospital‑wide orientations, meetings, and in‑servicesDemonstrate a commitment to flexible work scheduling when necessary to ensure patient careSupervisory ResponsibilitiesReports to: Cardiovascular Clinical SupervisorSupervises: NoneResponsibilities: Not applicableQualificationsTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Education and ExperienceMinimum Required Education: High school diploma, or equivalent, and post training as a CNA, Paramedic, Shock‑Trauma Tech, Nursing or EMS student, Phlebotomist, or Medical AssistantPreferred Education: Not applicableExperience: 2+ years as a CNA in an acute care facility, corpsman experience, or formal phlebotomy/laboratory/paramedic trainingCertificates, Licenses, RegistrationsApplicant must hold a current ACLS certification; have successfully completed Chesapeake Regional Medical Center's ACT competency or Shock‑Trauma/EMT‑intermediate training; and demonstrate competency in aseptic technique, cardiac arrhythmias, and laboratory services.#J-18808-Ljbffr

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