Tenet Healthcare Advanced Emergency Tech Emergency Dept Natick Per Diem in Natick, Massachusetts

GENERAL SUMMARY: Under the direction of an R.N. or M.D. and after completion of paramedic competencies, will assist with patient care within their scope of practice. Will be subject to Hospital orientation as established in compliance with JCAHO standards. Ensures quality and safe delivery of care to patients in the following age groups: All ages; Neonates; Infancy; Toddler; Preschool; School age; Adolescent; Adult; Geriatric. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. CLINICAL DUTIES - The Paramedic may assist the RN/MD in the delivery of care for the following measures: a. Intravenous cannulation of the peripheral vein in the arm; b. Administration and monitoring of the IV; c. The performance of CPR; d. Point of care testing; e. Cardiac monitoring and EKG's; f. O2 administration; g. Splinting of non fractures and wound cleaning; h. The reassessment of patients, data collection, and medical record recording; I. The performance of phlebotomy; j. Spine immobilization; k. Vital signs with orthostatics on appropriate patients; l. Peakflow, pulse ox readings; m. Initiates and maintains IV fluids on adult patients, including NMS, D5W, LR, and D51/2 NS; and n. Transport - may transport patients to med/surg, tele, ancillary departs for further diagnostic evaluation. Can operate under general ACLS guidelines in absence of RN/MD. 2. COMMUNICATION - Communicates in a professional way with patients, families, and co-workers. Respects confidentiality. 3. DOCUMENTATION - Documents all care delivered accurately and appropriately on patient charts and logs. 4. SAFETY - Maintains universal precautions; identifies situations which place patients, self, and others at risk and takes appropriate measures to ensure safety. 5. DEPARTMENT SUPPORT - Assists staff with routine tasks. Responds promptly to requests.

OTHER JOB KNOWLEDGE, EXPERIENCE AND REQUIREMENTS: 1. Current Commonwealth of Massachusetts EMT-Paramedic license, CPR, and ACLS required. 2. Minimum of 2 years pre-hospital experience as a licensed paramedic. WORKING CONDITIONS: 1. Patient care environment. The above statements are intended to describe the general nature and level of the work being performed by people assigned this job. They are not an exhaustive list of all duties, responsibilities, knowledge, skills and abilities associated with the job. ESSENTIAL PHYSICAL JOB FUNCTIONS Speech/Communication: 1. Ability to communicate face to face with individuals; communicate via call system with individuals; communicate via telephone with individuals; read, write, speak and understand the English language Hearing: 1. Ability to hear heart, lung and bowel sounds; blood pressure, and fetal heart sounds using stethoscope; respiratory sounds without stethoscope; patient verbalizations ? speech, crying, moans, etc.; monitor alarms, fire alarms, positive pressure room alarms. Vision: 1. Requires (Near/Far/Depth/Color) vision for patient assessment, charting, computer use, lab tests, read monitors, injections, vitals, blood draw, measurements Lifting/Carrying: 1. Ability to vertically/horizontally transfer objects weighing up to 10 lbs. from 69 inches to 26 inches, up to two times an hour for a distance of up to 150 feet without mechanical assistance. (example: Linens)2. Ability to vertically/horizontally transfer objects weighting up to 10 lbs. from 8 inches to 30 inches, up to five times an hour for a distance of up to 5 feet without mechanical assistance. (example: Charts) 3. Ability to vertically/horizontally transfer objects weighing up to 15 lbs. from 17 inches to 28 inches, up to once an hour for a distance of up to 5 feet without mechanical assistance. (example: P&P Manual) 4. Ability to vertically/horizontally transfer objects weighing up to 20 lbs. from 45 inches to 26 inches, up to once an hour for a distance of up to 200 feet without mechanical assistance. (example: Oxygen Tank) 5. Ability to vertically/horizontally transfer objects weighing up to 20 lbs. from 33 inches to 26 inches, up to once an hour for a distance of up to 200 feet without mechanical assistance. (example: Monitors) Pushing/Pulling: 1. Ability to push/pull IV poles and Blood Pressure machine for patient care. Must be able to horizontally transfer IV poles and Blood Pressure machine requiring a force of up to 1 lb., up to ten times an hour for a distance up to 50 ft. 2. Ability to push/pull crash cart or wheelchair (with patient). Must be able to horizontally transfer wheelchair and crash cart requiring a force up to 10 lbs. (total weight of 250 lbs.), up to once an hour for a distance up to 200 ft. 3. Ability to push/pull gurney with patient. Must be able to horizontally transfer gurney requiring a force up to 35 lbs. (total weight of 410 lbs.), up to once an hour for a distance up to 200 ft. 4. Ability to push/pull patient bed (with patient). Must be able to horizontally transfer patient bed (2 man ) requiring a force up to 38 lbs. (total weight of 713 lbs./2 =357 lbs.) five times an hour for a distance up to 50 ft. 5. Ability to push/ pull patient on bed sheet from gurney to bed, bed to gurney, and sit patient upright in bed. Requires upper body forces up to 45 lbs., up to five times an hour. 6. Ability to lift and transfer patient from bed to wheelchair, and wheelchair to bed. Requires upper body forces up to 50 lbs., up to six times a day. 7. Ability to turn patient side to side in bed and boost up in bed. Requires upper body forces up to 50 lbs., up to six times an hour (one time in ten minutes). Climbing: 1. Ability to climb stairs up to 80 steps an hour in a twelve hour time period. Gripping/Squeezing: 1. Ability to perform bilateral coupling forces up to 5 lbs., up to ten times an hour for paperwork and patient care. Repetitive Motion: 1. Ability to perform repetitive assumption of posture to access a point 1 inch from floor up to ten times an hour. Must be able to access low areas for changing linens and straightening patient?s rooms. Sitting/Standing: 1. Ability to tolerate a seated posture up to 15 minutes, continuously, for a total of up to 2 hours per 12 hour time period. 2. Ability to tolerate a standing posture up to 2 hours, continuously, for a total of up to 9 hours per 12 hour time period. Squatting: 1. Assume a squat. Reaching from 1? height on floor, returning to upright position (10 times). Walking: 1. Ability to walk up to 3 miles in a 12 hour time period. Other: Ability to use and wear Personal Protective Equipment (PPE), gloves, mask, gown, goggles, face shield.

MB8184

MWW

Job: Laboratory and Clinical Technicians

Organization: MetroWest Medical Center

Title: Advanced Emergency Tech Emergency Dept Natick Per Diem

Location: MA-Natick

Requisition ID: 1705015753