Job Description

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.Provides patient care as directed by emergency department (ED) RNs and Providers according to department established standards and procedures.Required Behaviors:As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.Required Qualifications: High School diploma or GEDHealthcare Provider BLS CertificationState of New Mexico EMT Intermediate licensurePreferred Qualifications:Healthcare related work or volunteer experienceAll EMT Intermediate Duties and Responsibilities:Implements MD orders under supervision of an RN as allowed under this purpose description. The following list of skills and procedures is included:1. Splint application2. Wound irrigation and preparation for suturing3. 12 lead EKGs4. Foley catheter insertion5. Venipuncture for the purpose of obtaining blood samples6. Vascular access; inserting a peripheral intravascular catheter or intraosseous device7. Administration of 0.9% NaCl flush as needed8. Initiate and administer IV fluids as ordered under the direction on an RN or Provider9. Point of care (POC) testing including glucose, urine dip, strep, and pregnancy testing, i-Stat testing of venous and arterial blood samples and blood alcohol testing via breathalyzer analysis10. Performs daily duties of POC quality control checks, stocking, and temperature checks as outlined on the Tech Daily Assignment sheet11. Upon initiation by an RN or Provider, application of restraint or seclusion in an emergency situation in order to ensure the immediate physical safety of patients, staff or visitors when other less restrictive interventions have been deemed ineffective12. Act as an observer for a restrained/secluded patient or AT Risk patient requiring observation13. Performance of CPR as indicated and/or directed, including BVM ventilation and chest compressionsDefibrillation as directed by the ED code team using an AEDResponds as member of ED code team to patients requiring resuscitation in other departments on the first floor of the hospital for the purposes of performing CPR and establishing IV accessPerforms as a member of the trauma resuscitation teamSpinal immobilization and vehicle extraction for patients self-presenting to the ED with suspected spinal injurySet up suture trays and central line trays according to sterile procedureSet up of rapid infuser, chest drainage systems, and suction equipmentProvides patient education and training in use of immobilization devices as well as ambulation assistive devicesPerforms intake assessment based on current ED Intake Criteria on patients presenting through ED lobby. Identifies need to call Charge RN or Provider for emergent patients. Other intake duties include:1. Performance of 12 lead EKGs within 10 minutes of arrival for patients presenting with chest pain2. POC testing as indicated3. Repeat vital signs per policy on patients waiting in the ED lobby4. Performs suture removalsReceives and documents EMS patient reports from the field, advises the Charge RN and/or Provider of patient condition, and whether the patient meets trauma, stroke, STEMI, or sepsis alert criteriaActs as a patient and family advocate recognizing changes in patient condition and reports this information to an RN or Provider as indicatedPerforms Legal Blood Alcohol blood draws at the request of Law Enforcement personnelDocuments all procedures and patient care interventions performed in the patient care recordActs in capacity as department unit secretaryFacilitating transportation of stable patients with diagnostic procedures, admissions, and dischargesAssists with the transportation of patients to and from the helipadAssists with lifting and transfer of patientsWhen acting as Lead Tech, ensures that all daily tech duties are assigned and completedReports to the charge nurse or ED Clinical Coordinators any broken or malfunctioning equipmentUtilizes universal precautions and infection control procedures according to hospital policyCleans patient rooms and patient monitoring equipment between patient care episodesActs as a member of the procedural sedation teamRemoval of NG tubes under supervision or direction of an RN or ProviderAdministration and evaluation of the following medications under ED RN of provider Direction:1. Oral Glucose preparations2. Aspirin PO for adults with suspected cardiac chest pain3. Acetaminophen or Ibuprofen PO for pediatric or adult patients with fever4. Albuterol, Ipratropium, or Xopenex via nebulized inhaled administration5. Activated Charcoal PO6. Naloxone bysubcut, IM, or intranasal administration7. Epinephrine 1:1,000 SQ or IM no single dose greater than 0.3 ml for anaphylaxis and known asthmatics in severe respiratory distress8. Epinephrine 1:10,000 IV for cardiac arrest based on current dosage for adult and pediatric patients9. Anti-emetic medications, PO, IM or IV10. Diphenhydramine PO or IV for allergic reactions or dystonic reactions11. Corticosteroids PO, IM, or IV12. Lidocaine 2% preservative and epinephrine free for intraosseous device use on adult patients for pain controlEach employee is responsible for implementing SJRMC’s Service Standards into their daily work: Safety, Courtesy, Effectiveness, and StewardshipOther duties as assignedPhysical Demands and Environmental Work Conditions: Must be able to lift fifty (50) poundsMust be able to proficiently perform all manual duties described aboveMust be able to ambulate without restrictionMust be able to use computer mouse and keyboard for documenting in the patient care recordMust pass colorblindness test as defined by lab testing regulatory requirements

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