Mercy Cedar Rapids
This position supports Mercy's philosophy of patient centered care through participation in the interdisciplinary team. The Paramedic performs designated procedures under the supervision of a Registered Nurse as well as assuming a leadership role in emergency situations within the unit.
Job Specific Duties/Essential Functions
Functions under the general supervision/direction of a supervising RN/Physician and is responsible for facilitating the provision of patient care which is goal directed.
These tasks may be completed under the direction and discretion of the primary nurse: Monitors cardiac monitor during transport to ancillary departments and at admission and performs ECG per protocol and as directed.
Administers (and wastes as appropriate)PO/IV/IM/SQ/SL/Rectal/NG/OG/IO/Inhaled/IV piggyback/intranasal/endotracheal/ophthalmic medications including continuous infusion of vasoactive drugs for hemodynamic regulation & narcotics for pain management as well as IV fluids, including NS/LR/D5W/D10W/Potassium.
May administer ACLS and RSI medications during an ACLS/RSI event, under the direct supervision of the primary RN (and wastes as appropriate).
Performs point of care testing, to include:
Performs IV/IO insertion on adult and pediatric patients and may obtain ordered lab tests.
Place NG/OG tubes and foley catheters in adult and pediatric patients, after being trained by Mercy Medical Center and initiate blindly inserted airway devices to include but not limited to OPA, NPA, King LT's, LMA's. Performs intubation under the direct monitoring of the Provider.
Perform eye irrigation including the use of a Morgan Lens.
Assist the primary RN, as the second staff in Cardioversions/Sedations and in verifying medication and infusions with the primary RN, to include:Insulin/Heparin/Nitroglycerin/Cardizem/Vasopressors/Propofol/Midazolam/Fentanyl.
Respond to in-house and outpatient codes with another nurse.
Transport patients with blood products hanging.
Receive critical lab values and follow Critical Results of Tests Policy.
Break the primary RN, however, not to begin new patients.
Assess patient's response to interventions (ex. Pain).
Position Specific Job Duties/Essential Functions
Receive radio ambulance report if Shift Supervisor or another nurse in not available.
Knowledge, Skills and Abilities
Demonstrates critical thinking skills and abilities.
Sound background in emergency medical care.
Demonstrates ability to provide safe and effective patient care.
Professional Experience- Required vs. Preferred
Previous patient care/paramedic experience preferred.
Education-Required vs. Preferred
Graduate of an accredited Paramedic Specialist Program-required
Conscious Sedation will be required within 90 days of hire and annually thereafter
Licensure, Certification, Registration - Required vs. Preferred
Required: Current certification in Basic Cardiac Life Support (BCLS), in accordance with the American Heart Association
Required: Currently licensed to practice as an EMT-Paramedic in the state of Iowa
Required: Current certification in Advance Cardiac Life Support (ACLS)
Physical Activity Requirements
Constant = 67-100% of workday
Frequent = 34-66% of workday
Occasional = 33% or less of workday
Physical Demand Requirements
Heavy: Exert 50-100 lbs. of force occasionally and/or 25-50 lbs. of force frequently
Full Time, Evening/Night, every third weejkend with variable evening night shifts