Paramedic- Per Diem

St. Joseph Hospital; Nashua (NH); Hybrid; USD 33,000 - 47,000; Full time

Job summary

St. Joseph Hospital in Nashua, NH seeks an experienced Emergency Department Paramedic to support the ED team under the direction of the Medical Director and Nursing Director.

The role emphasizes performing assessments, establishing IV/IO access, airway management, EKG interpretation, medication administration, triage, and patient transport while maintaining patient advocacy and confidentiality. Requirements include NH Paramedic license, ACLS, PALS, and BLS certifications, with a preference for

Qualifications

• Current New Hampshire Paramedic license required.
• Advanced Cardiac Life Support certification required.
• Pediatric Advanced Life Support required.
• Basic Cardiac Life Support certification required.
• Successful completion of Paramedic level training strongly preferred.
• Five years as a practicing pre-hospital Paramedic preferred.

Responsibilities

• Supports and promotes the mission and values of Covenant Health Ministry.
• 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.

Skills

Point of care competencies

IV competencies

EKG with arrhythmia recognition

Venipuncture competencies

IO insertion/removal

Ranger fluid warmer

Bair hugger

Therapeutic hypothermia

Wound care

Burn care

Splint application

CPI Certification

Leadership modules

Education

NH Paramedic license

Advanced Cardiac Life Support

Pediatric Advanced Life Support

Basic Cardiac Life Support

Paramedic level training preferred

Five years pre-hospital paramedic experience preferred

Tools

SRNA

Job description

Job Summary

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 the following functions. It should be understood that the primary responsibility for an individual patient will remain with the assigned RN.

Essential Duties and Responsibilities

• Supports and promotes the mission and values of Covenant Health Ministry.
• 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

Job Requirements

Job Knowledge and Skills

• 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

Education and Experience

• Current New Hampshire Paramedic license required.
• Advanced Cardiac Life Support certification required.
• Pediatric Advanced Life Support required.
• Basic Cardiac Life Support certification required.
• Successful completion of Paramedic level training strongly preferred.
• Five years as a practicing pre-hospital Paramedic preferred.

An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements.

Working Conditions/Physical Demands

Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Lifting/carrying frequently up to 35 pounds, and occasionally up to 50 pounds. Some stress related to high level of responsibility for quality care.

Americans with Disabilities Statement

Must be able to perform all essential functions of this position with reasonable accommodation if disabled.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any time, to reflect process improvements and business necessity.

Standard of Business Conduct

Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct.

Covenant Health Mission Statement

We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities.

Our Core Values

• Compassion
• Integrity
• Collaboration
• Excellence

We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.

We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.

We work in partnership, dialogue and shared purpose to create healthy communities.

We deliver all services with the highest level of quality, while seeking creative innovation.

Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history).

Comp Range

$24.95 - $34.36

Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position.

Our people make the difference. See firsthand what makes our employees and culture shine!