Paramedic - Emergency Department (0.3 Variable)

mercycare; United States; On-site; USD 45,000 - 65,000; Full time

Job summary

MercyCare is seeking a Paramedic to join its interdisciplinary team, supporting patient-centered care. The role involves responding to emergent situations, performing designated procedures under RN supervision, and contributing to efficient patient flow in the unit.

You will administer medications and injections as ordered, take vitals, manage room turnover, and educate patients per pre-approved materials. Iowa licensure and BLS are required, with ACLS/PALS to be completed before orientation.

Qualifications

• Must hold EMT-Paramedic licensure in Iowa.
• Current Basic Life Support (BLS) certification.
• ACLS and PALS must be obtained prior to orientation.

Responsibilities

• Assist in patient care under supervision of RN/physician.
• Measure vitals, height and weight accurately.
• Manage room turnover and patient flow.
• Take health histories and medication lists.
• Perform injections as ordered by provider within standing orders.
• Educate patients using approved materials and discharge summaries.
• Handle specimen collection and basic lab tasks as directed.
• Assist with procedures (EKG, Nebulizer, etc.) as directed.
• Maintain inventory of medical supplies and medications.

Skills

Critical thinking

Emergency medical care

Safe patient care

Education

EMT-Paramedic certification/licensure

Job description

Work Shift

Variable/Rotating Shifts

Scheduled Weekly Hours 12

Summary

This position supports Mercy's philosophy of patient centered care through participation in the interdisciplinary team. The Paramedic performs designated procedures under the supervision of a Registered Nurse as well as responding to ever-changing and emergent situations within the unit.

Job Duties

• Functions under the general supervision/direction of a supervising RN/Physician and is responsible for facilitating the provision of patient care which is goal directed.
• Performs accurate measurement of patient statistics to include vitals, height and weight.
• Manages room turnover and patient flow.
• Collects health history and medication list.
• Escribes orders.
• Prepares patient for physician exam.
• Instructs patients as directed by the RN or physician.
• Administers oral, SubQ and IM medications and injections as ordered by the provider.
• Demonstrates basic knowledge of medication purpose, side effects and administration procedure.
• Practices standard precautions.
• Follows Mercy's safety guidelines, carries out job-specific safety duties and responsibilities, and promptly reports any unsafe conditions, situations, incidents and injuries.

Department Specific Duties

• Prepares instruments, supplies and protective devices for exam and testing prior to the visit.
• Rooms and prepares the patient for examination. This includes reviewing histories, allergies, medications, reason for visit and taking vitals.
• Per established standing orders of provider, orders/administers injections, orders/collects specimens for lab testing (ex. Rapid strep tests) and performs phlebotomy as needed.
• Provides patient instruction using pre-approved patient education materials specific to the chief complaint or for the health promotion of observed behaviors known to contribute to poor health, as directed by the provider.
• Prints after visit summary and completes discharge of patient from exam room.
• Manages phone calls to patients regarding test/lab results and provides appropriate instruction for treatment, as directed by the provider.
• Processes medication requests/changes/refills per established written protocols. This includes having knowledge of medications, including basic dosages, side effects and interactions.
• Provides assistance with diagnostic procedures (ex. EKGs) and treatments (ex. Nebulizer treatments) as directed by the provider. This includes obtaining specimens, labeling and disposition to the laboratory and explaining diagnostic procedures to patient as needed.
• Manages sample medication according to organizational policy and procedure.
• Orders and maintains adequate but not excessive medical supply inventory.
• Collects and documents urine drug screens in compliance with regulations.
• Educates and discharges patients.
• Receives radio ambulance report if Shift Supervisor or another nurse in not available.
• Performs IV/IO insertion on adult and pediatric patients and may obtain ordered lab tests.
• Responds to in-house and outpatient codes with another nurse.
• Covers for the primary RN during breaks, however, not to begin new patients.
• Tasks such as these may be completed under the direction and discretion of the primary nurse: Monitors cardiac activity and performs ECG per protocol; initiates/maintains CPAP; Administers (and wastes as appropriate) various intravenous medications to include narcotics for pain management and IV fluids.
• Places NG/OG tubes and foley catheters in adult and pediatric patients once trained by MMC personnel; and performs intubation under the direct monitoring of the Provider.
• Assists the primary RN as the second staff in Cardioversions/Sedations and in verifying medication and infusions with the primary RN to include various medications.
• Transports patients with blood products hanging, performs eye irrigation, receives critical lab values and follows Critical Results in Test policy, and assess patient's response to interventions (ex. pain

Knowledge, Skills and Abilities

• Demonstrates critical thinking skills and abilities.
• Sound background in emergency medical care.
• Demonstrates ability to provide safe and effective patient care.

Professional Experience

Previous patient care/paramedic experience preferred.

Education

Education sufficient to obtain required licensure.

Licensure, Certification, Registration

• Current certification in Basic Life Support (BLS), in accordance with the American Heart Association required by the department within 6 months of hire required.
• Currently licensed to practice as an EMT-Paramedic in the state of Iowa required.
• Iowa Dependent Adult Abuse/Iowa Child Abuse Mandatory Reporter training required. Employee must submit certification of completed training to Human Resources prior to start or transfer date.
• Emergency Department(s) - Advance Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) must be obtained prior to the completion of orientation.

Physical Requiremen

Physical Requiremen