Paramedic- per diem Express Care

Wentworth-Douglass Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community.  We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham and Wentworth-Douglass Hospital, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

Wentworth-Douglass Hospital remains among the nation’s top hospitals for patient experience as a recipient of the Healthgrades 2021 Outstanding Patient Experience Award for the eighth consecutive year.

• Performs selected, direct, age-specific patient assessment and patient care, recognizes life-threatening illness or injuries and initiates appropriate treatment & provides age-specific individualized care that supports protection from harm, under the delegation of the registered nurse and with a providers order for protocols, medications and diagnostic tests.

• TEAMWORK: Participates as an active and contributing member of a team to achieve common goals. Works collaboratively with other team members, shares relevant information and credit for team accomplishments, as appropriate.

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• • Responds promptly, courteously and appropriately to requests from others for assistance and/or information. Consistently demonstrates empathy and understands the impact of their work on patients, families and other team members.
  • Actively contributes to a positive work environment through their interactions with others. Gives and receives honest feedback in a non-confrontational manner and influences others with their supportive, enthusiastic and optimistic approach to the team and work environment.
  • Offers possible solutions when addressing a problem or concern. Participates in decision making, utilizing the WDHS Decision Making Model, when appropriate.
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  INTEGRITY/ACCOUNTABILITY: Builds productive working relationships with internal and external customers, based on honesty, accountability and role modeling.

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• • Strives to meet customer expectation by providing consistent, timely and high quality work: meets deadlines, adapts to changes and is respectful of confidentiality.
  • Treats others courteously and professionally at all times.
  • Accepts responsibility for own actions, behaviors and decisions. Actions and speech reflect a commitment to WDHS.
  • Accepts accountability for behavioral choices. Works to advance a Culture of Safety and mutual support. Understands safety risk and occurrence reporting expectations.
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  EXCELLENCE: Effectively assesses and adjusts to changes in circumstances, resources or environment, using creativity and flexibility.

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• • Works in an organized manner and adheres to department operation and service standards.
  • Participates with departmental leadership in achieving (or working toward) results aligned with the Strategic Plan and Triple Aim.
  • Identifies areas for process improvement driven by organizational and customer needs.
  • Takes the initiative to learn higher level skills that enhance the ability to contribute to the department or organization.
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  RESPECT: Clearly conveys and receives information and ideas in a manner that engages the listener, helps them understand and retain the message, and invites response and feedback. Keeps others informed and follows up as appropriate. Speaks positively and seeks to understand others. Listens for feedback and engages in dialogue.

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• • Uses appropriate body language, non-verbal expressions and tone of voice when interacting with others.
  • Takes the initiative to improve working relationships and foster mutual respect with coworkers and customers. Consistently acts cooperatively and is able to obtain the cooperation of others.
  • Maintains a pleasant, courteous disposition and acknowledges the contribution of others.
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  CARING: Behaves professionally and supportively when working with or responding to the needs of coworkers and customers.

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• • Easily interacts with a diverse workforce. Has an open and cooperative approach when interacting with others and embraces individual differences.
  • Recognizes differing social and cultural standards and adapts accordingly.
  • Maintains safe and respectful workplace by refraining from gossip/rumors, threats, violence, intimidation and other types of disrespectful or harassing behaviors.
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  COMPLIANCE: Adheres to all organizational policies, procedures, regulatory and statutory rules, acting promptly on all potential discrepancies. Takes effective corrective action and/or informs appropriate individuals that a compliance breach has occurred.

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• • HIPAA – Protects the privacy of patient data written, electronically and verbally.
  • Code of Organizational Ethics/Compliance – Understands and adheres to Duty to Comply, Duty to Act in an Ethical Manner, Duty to Participate in Education and Training, Duty to participate in Auditing and Monitoring, duty to Participate in an Investigation and Obligation to Report.
  • Non-Harassment – Maintains safe and secure work environment by refraining from physical violence, threats and intimidation and other types of harassment, verbal and non-verbal.
  • Environment of Care/Infection Control – Performs duties related to providing a safe environment and prevention of control of infection.
  • Organizational Policies and Procedures – Is knowledgeable of, understands and adheres to all applicable departmental and organizational policies and procedures.
  • Safety – Understands safety risk in area and develops plan to ensure employee and patient safety.

60%

ESSENTIAL FUNCTIONS

1. Performs selected, direct, age-specific patient assessment under the delegation of a registered nurse with with the physician's order as indicated for protocols, medications and diagnostic tests.
   1. Assist with the triage process by completing the patient interview process and assessment, collaboratively with the RN.

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1. 2. Vital Signs Monitoring - Collects and reports physiological monitoring data to the RN/provider to identify deviation/trends and prevent complications. Pain assessment per policy

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1. 3. Includes the patient/family/significant other(s) in the plan of care whenever possible.

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1. 4. Recognizes and reports signs and symptoms of abuse and neglect to the RN.

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1. 5. Follow policy/procedures for assessment / re-assessment / Protocols / patient flow / pain. Follows clinical practice standards pertinent to care collaboratively with the RN.

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2. Provides selected, direct, age-specific patient care under the delegation of the registered nurse and with the physician's order as indicated for protocols, medications and diagnostic tests.
   • Performs venipuncture, label samples per policy and in accordance with regulatory standards. Enters lab orders in to Soarian and appropriately document collection in the medical record.

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1. 1. Collects specimen per protocol or provider order and initiates POC testing.

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1. 2. Initiates IV access with provider order and administers and monitors intravenous fluids and medications per policy/competency.

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1. 3. Obtains and recognizes electrocardiogram ischemia or injury patterns and reports to RN/provider.

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1. 4. Prepares, gives and evaluates the effectiveness of selective drugs per competencies.

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1. 5. Administers oxygen and monitors its effectiveness.

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1. 6. Stabilizes, immobilizes and/or protects an injured body part with a supportive appliance, splint inclusive of Robert Jones or traction.

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1. 7. Follow process for DME application, pre & post assessment and documentation in medical record. Completes required paperwork for DME billing.

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1. 8. Provides care to a patient immediately prior to transfer and verifies required procedures/tests and documentation in the clinical record

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1. 1. Provides bleeding control, wound care and appropriate dressings to promote healing and prevent complications.

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1. 10. Identifies allergic responses to food, medications, insect bites, contrast material, blood, or other substances and initiates protocol.

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1. 11. Collaborates with RN in triage by establishing priorities and initiating treatments. 

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1. 50. Implements protocols in collaboration with the RN.

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1. 1000. Assists with emergency delivery of a baby

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1. 14. Assists with physical & psychological needs of the woman undergoing a spontaneous abortion

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• • Serves as an advocate for patients, family and significant others in regard to decisions affecting the plan of care.

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3. Recognizes life-threatening illnesses or injuries and initiates appropriate treatment delegated by the RN and with the provider's order as indicated for protocols, medications and diagnostic tests.
   • Recognizes and facilitates treatment of abnormal cardiac rhythms.

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1. 1. Provides for non invasive neurologic monitoring - collects patient data to prevent or minimize neurologic complications.

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1. 2. Cares for patient during a seizure and the postictal state.

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1. 3. Monitors, treats and emotionally supports a patient who has ingested prescription, other drugs or alcohol beyond the therapeutic range.

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1. 4. Provides life-saving measures in life-threatening situations such as trauma care.

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4. Works effectively with co-workers, providers and other departments to assist patient progress through the continuum of care under the delegation of the RN and with the provider's order as indicated for protocols, medications and diagnostic tests.
   • Documentation - Records pertinent patient data in a clinical record.

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1. 1. Assists with all appropriate documentation for transfers, AMA, LWOT.

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1. 2. Protects the health care rights of a patient, especially a minor, incapacitated, or incompetent patient unable to make decisions

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1. 3. Uses technical equipment and devices to monitor patient condition or sustain life in collaboration with RN.

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1. 4. Assists with discharge planning. May provide the providers discharge instructions to the patient as delegated by the RN.

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1. 5. Provides reassurance, acceptance and encouragement during times of stress

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5. Provides age-specific, individualized care that supports protection from harm under the delegation of the registered nurse and with the provider's order for protocols, medications and diagnostic tests.
   • Maintains special precautions with patient at risk for injury from falling

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1. 1. Reduces the risk for self-inflicted harm with intent to end life through appropriate risk assessment and monitoring as indicated.

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1. 2. Assists with the seclusion/safety process as delegated by the RN/MD.

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1. 3. Minimizes the acquisition and transmission of infectious agents as part of infection control.

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1. 4. Initiates interventions for the aggressive or violent patient in accordance with safety standards.

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6. Acquires and maintains current knowledge and competency in paramedic role.
   • Participates in ongoing educational activities related to paramedic practice or professional issues.

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1. 1. Acquires knowledge and skills appropriate to the paramedic.

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1. 2. Demonstrates self motivation by maintaining 12 hours educational points.

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1. 3. Seeks/maintains certification: ACLS & BLS

• Experience Minimum Required
  • 1 years paramedic
• Experience Preferred/Desired
  • > than 2 years Paramedic
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  Education Minimum Required
  • Paramedic level education
• Education Preferred/Desired
  • AD
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  Training Minimum Required
  • N/A
• Training Preferred/Desired
  • N/A
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  Special Skills Minimum Required
  • Paramedic approved competencies are listed in NH State Patient Care Protocols for EMT-P published by the Medical Control Board including the approved medication profile and WDH approved list of medications.
  • Paramedics work with the RN under the NH BON Rules of Delegation.
  • Paramedics may not administer blood products, fibrinolytics or moderate sedation.
  • Paramedic cannot perform procedures, which the RN is unable to delegate such as incubation
  • Current ACLS & BLS - Travel required to other Express Care locations, when needed
• Special Skills Preferred/Desired
  • CPR Instructor Certified, NRP
• 
  Licensure and/or Certifications Required
  • AHA BLS, Paramedic - National, Paramedic - State
• Licensure and/or Certifications Preferred/Desired
  • PALS , PHTLS, TNCC

Wentworth-Douglass Hospital is an Equal Opportunity Employer.  By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.