Paramedic - Peds ED
The Pediatric ED consists of 15 private beds, divided into 2 pods. Patients are placed into beds based on acuity. We follow the Emergency Severity Index (ESI) Guidelines for triage. We have a separate 24/7 staffed arrival desk and 2 triage booths. We take a team approach to care for our patients, and assign 2 nurses to each pod, a nurse to arrival, and dependent on volume 1-2 nurses to triage. Our charge nurse is a working charge and takes a full assignment. We have 6 monitored beds and a specialized sensory integration room. We see more than 30,000 patients per year. We care for patients aged 0- 17 years of age with chief complaints ranging from earaches, sore throats, vomiting, diarrhea, lacerations, headaches, SI/HI, overdose, newborn sepsis, asthma, croup, DKA, fractures, sedations with reductions at bedside, to respiratory failure. All nurses are dedicated pediatric nurses and required to have BLS, ACLS, PALS, CPI and ENPC certification. All are required to have 16 CEU’s every 2 years.
Certified Emergency Medical Technician-Paramedics render emergency assistance such as first aid, bandaging and splinting to injured or ill patients. Applies artificial respiration or administers oxygen in cases of suffocation and asphyxiation. Administers antiseptic solution to prevent infection until patient can receive more extensive professional care as needed. Starts and administers intravenous fluids. Assists in lifting patient onto wheeled cart or stretcher and into and out of ambulance. Work is performed under the review of administrative medical direction and follows communication protocols.
Maintains direct and general patient care, provides on-going patient assessments and implements appropriate intervention, under Emergency Department (ED) Physician or intermediary staff orders.
Administers IV medications during a procedure, under the direction of an ED physician, and in accordance with established protocols.
Assesses patient’s status pre, during and post procedure and communicates accurately and timely any concerns or changes to ED Physician or intermediary staff.
Takes vital signs, weighs patients, collects routine urine specimens, cleans catch specimens, stool specimens, and sputum specimens in accordance with established procedures.
Administers and controls State approved medications; prepares, hangs, monitors and discontinues intravenous fluids.
Applies/administers O2 flow as prescribed by ED Physician.
Assists physicians and nursing staff with procedures utilizing aseptic/sterile techniques including but not limited to IV set-up, intubation, suturing, arterial lines, and chest tubes .
Cleans and prepares rooms between procedures and after discharges; monitors and restocks supplies.
Collects information through history, physical examination and records ensuring information is accurately documented and reported.
Takes care of the body after death.
Cooperates with other personnel to achieve department objectives and maintains good employee relations, interdepartmental objectives, and infection control policies.
Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.
Performs related duties as assigned.
EDUCATION: High school diploma or general education degree (GED), ACLS, PALS, CPR certifications, or an equivalent combination of education and experience.
EXPERIENCE: Six (6) months of paramedic-EMT experience.
LICENSURE OR CERTIFICATION: Cardio Pulmonary Resuscitation (CPR) certification, Advanced Cardiac Life Support (ACLS) certification, Pediatric Advances Life Support (PALS) certification, Current Arizona Emergency Medical Technician Certification to the Paramedic level (National Registry preferred). Department specific: Valid fingerprint clearance card.
KNOWLEDGE, SKILLS AND ABILITIES:
Knowledge of EMT-Paramedic best practices.
Skill in performing emergency assistance such as first aid, bandaging and splinting, applying artificial respiration or administering oxygen in cases of suffocation and asphyxiation.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to complete routine reports and correspondence.
Ability to listen and accurately interpret others’ communication or instructions to take appropriate action.
Ability to speak effectively before groups of customers or employees of the organization.
Ability to add and subtract two-digit numbers; and ability to read a clock and accurately document time.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.