Paramedic ED Technician: Critical Care Support

McCamey County Hospital District; McCamey (TX); On-site; USD 42,000 - 60,000; Full time

Job summary

McCamey County Hospital District is seeking an Emergency Department Technician, Paramedic Qualified to join our rural hospital team in the ED. You will support patient care under RN direction, perform routine triage-adjacent tasks, and assist with monitoring, airway, and critical care activities as authorized by the department.

The role requires Texas paramedic credentials, BLS/ACLS, and the ability to communicate clearly with patients and staff.

Qualifications

• Education – High school diploma or equivalent; completion of an accredited paramedic education program.
• License, registry, or certification – Current Texas paramedic license or certification in good standing; current BLS and ACLS. PALS and other emergency care credentials as required by MCHD.
• Experience – One year of paramedic or emergency care experience preferred; hospital ED experience preferred.
• Skills and abilities – Ability to read, write, speak, and understand conversational English (verbal and written) sufficiently to communicate effectively with patients, families, and the care team, document accurately in the electronic health record, and follow written protocols and orders. Clear verbal and written communication, safe patient handling, ECG and emergency equipment familiarity, electronic health record use, and effective teamwork during high-acuity events.

Responsibilities

• Receives assignments from the RN, communicates observations promptly, and escalates urgent changes in condition immediately to the RN and treating provider.
• Obtains and records vital signs, pain scores, blood glucose readings, weights, intake and output, and other assigned observations; recognizes abnormal findings and reports them without delay.
• Assists with rooming, patient positioning, safe transfers, transport, hygiene, comfort measures, fall precautions, and care appropriate to neonatal, pediatric, adult, and geriatric patients.
• Obtains 12-lead ECGs, applies monitoring equipment, assists with oxygen delivery and airway equipment, and supports resuscitation and trauma care as assigned within approved competency.
• Collects and labels specimens and performs point-of-care testing only when trained and authorized under laboratory policy and quality control requirements.
• Prepares rooms, supplies, and equipment for procedures; assists the RN and provider with wound care, splinting, immobilization, and other procedures within assigned competency.
• For enhanced paramedic skills, performs only procedures specifically listed in a current MCHD role‑specific skills matrix, supported by documented training and competency, a valid order or approved protocol when required, and the applicable supervision arrangement. Examples that may be considered for approval include IV access, phlebotomy, ECG acquisition, and airway or resuscitation assistance; listing an example here does not authorize performance.
• Documents care and observations accurately and promptly in the designated record; records the responsible ordering provider and communicates completed interventions to the RN.
• Checks, cleans, restocks, and maintains ED rooms, crash carts, and equipment; reports malfunctioning equipment and supply shortages.
• Participates in handoff, emergency drills, education, quality improvement, and annual competency validation.

Skills

English communication

Patient care

Teamwork

Reading/writing in EHR

Vital signs

Education

High school diploma; paramedic education program

Tools

ECG operation

Electronic health record (EHR)

IV monitoring

Job description

McCamey County Hospital District is seeking an Emergency Department Technician, Paramedic Qualified to join our rural hospital team in the ED. You will support patient care under RN direction, perform routine triage-adjacent tasks, and assist with monitoring, airway, and critical care activities as authorized by the department.

The role requires Texas paramedic credentials, BLS/ACLS, and the ability to communicate clearly with patients and staff.