Paramedic

CHI Health St. Mary’s has served Nebraska City and the surrounding areas since 1927. In the fall of 2014, St. Mary’s opened the doors of a brand-new, fully modernized facility. The new 110,000-square-foot campus is better equipped to meet the changing needs of our community with, among other benefits, an increased capacity for specialty clinics and an integrated primary care clinic. St. Mary’s encourages collaboration and care coordination among primary care physicians and medical specialists. This contributes to the high quality of care our patients have come to expect.

Job Summary / Purpose
This position contributes to the mission and vision of CHI Health by augmenting nursing care to patients in the Emergency Department, and in other areas of the hospital when assigned.

Essential Functions

Functions within the scope of practice of a Paramedic as defined within Nebraska and Iowa state regulations and listed in the Approved Skills and Procedures for Licensed EMS Providers document. This position does take a
patient assignment, but must be over seen by an RN.

• Provides patient care and performs patient care procedures:

• EKG
• Accu checks
• CPR
• Crutches
• Ace bandage application
• Splint application
• Wound cleansing
• Dressing
• Immobilization
• Medication administration under medical/nursing direction (IM, IV, oral ASA and Tylenol, oral analgesics) (not to include high risk medication including titratable medications)
• IV insertions, IO insertion and EJ insertions
• Foley catheterization
• Intubation (only at the direct request and supervision by an ED physician who is present in the room).
• Re-assessment of patient condition and status.
• Documentation on the EMR (vital signs, assessments, medications, etc.)
• Independent transportation to inpatient units
• Oxygen administration
• Cardiac monitoring and rhythm interpretation
• Spinal stabilization and immobilization
• Extrication of patients
• Responds to code and trauma activations in the ED and, when requested, on the hospital campus and assisted with delegation from the primary RN.
• Provides patient transportation within the Emergency Department and on the hospital campus as requested.
• WILL NOT perform triage, initial patient assessment, provide dismissal instructions, administer antibiotics or Thrombolytics and other high-risk medications as determined by facility policy.
• Consults as needed with supervising nurses and ED physicians regarding patient condition and treatment.
• Maintains strict patient confidentiality.
• Maintains professional and positive attitude to staff and patients.
• Follows policies and procedures of CHI Health.
• Maintains a customer-service, patient-focused environment.
• Participates in QI activities and efforts to improve patient care processes.
• Advises ED Medical Director and leadership regarding any practice issues or patient care concerns.
• Attends staff meetings, in-services, and other departmental meetings as requested.
• Provides evidence of on-going continuing education activities and maintains current educational requirements.
• Able to assume care for patients with acuity levels of 3,4,5 under the supervision of a RN after initial assessment of chief complaint is completed.

• Provides patient care and performs patient care procedures as listed on the attached Approved Skills and Procedures for Licensed EMS Providers.
• Responds to Code 99 and trauma activations in the ED and, when requested, on the hospital campus.
• Provides patient transportation within the Emergency Department and on the hospital campus as requested.
• Enters patient orders into the hospital computer system when directed.
• Assists with obtaining patient demographic and billing information.
• Maintains strict patient confidentiality.
• Maintains professional and positive attitude at all times to staff and patients.
• Follows policies and procedures of CHI Health.
• Maintains a customer-service, patient-focused environment.
• Advises ED Medical Director and OD-ED regarding any practice issues or patient care concerns.
• Attends staff meetings, in-services, and other departmental meetings as requested.
• Maintains compliance with licensure and certification requirements.
• Provides evidence of on-going continuing education activities.

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.

Education and Experience

• High School Graduate General Studies upon hire Required or
• High School GED General Studies upon hire Required and
• Previous clinical experience in an Emergency Department or hospital setting is Preferred

Licensure and Certifications

• Emergency Medical Technician Paramedic: NE (EMT-P:NE) 
• Basic Life Support - CPR (BLS-CPR) N/A upon hire Required or Basic Life Support Instructor (BLS-I) upon hire Required and
• Advanced Cardiac Life Support (ACLS) within 6 - months
• Advanced Cardiac Life Support Instructor (ACLS-I) within 6 - months
• Pediatric Advanced Life Support (PALS) within 6 - months
• Pediatric Advanced Life Support Instructor (PALS-I) within 6 - months