ED Paramedic

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.

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:

• Current State of New Mexico or National Registry certification/licensure as a Paramedic per state requirements
• Current BLS, ACLS, & PALS certification must be obtained within one (1) year from date of hire 
• Current clinical competency must be demonstrated and additional education/training may be required

Preferred Qualifications:

• Healthcare-related work or volunteer experience
• Two (2) years' experience as a field paramedic with an EMS agency and/or clinical experience working in a hospital

Duties and Responsibilities:

• Implements Provider orders under supervision of Charge RN as allowed under this purpose description. The following list of skills and procedures is included:
• Acts as a patient and family advocate, recognizes changes in patient condition, and reports this information to a Provider as indicated
• Member of the procedural sedation team
• Airway management, jaw thrust and chin lift, visual inspection/auscultation, oropharyngeal suction, nasopharyngeal/oropharyngeal airway, and laryngeal and supraglottic airway devices
• 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 ineffective after initiation by a Provider
• Assists with lifting and transfer of patients
• Assists with the transportation of patients to and from the helipad
• Blood administration and set-up of rapid infuser
• Cardiac monitoring and 12-lead EKGs; performance of 12 lead EKGs within 10 minutes of arrival for patients presenting with chest pain
• Cleans patient rooms and patient monitoring equipment between patient care episodes
• CPR as indicated and/or directed, including BVM ventilation and chest compressions
• Cricothyrotomy, surgical
• Cardiac pacing transcutaneous, cardioversion, and defibrillation using an Zoll defibrillator
• Documents all assessments, procedures, and patient care interventions performed in the electronic record
• Endotracheal/Nasotracheal intubation and suctioning (patients 13 years of age or older)
• Fall Risk Assessment
• Foley catheter insertion
• Flow Facilitator duties on patients presenting through ED lobby. Identifies need to call Charge RN or Provider for emergent patients 
• Legal Blood Alcohol blood draws at the request of Law Enforcement personnel
• Member of the trauma resuscitation team
• Paracentesis and thoracentesis set-up and assistance
• Patient education and training in use of immobilization devices as well as ambulation assistive devices 
• Pleural (thoracic) decompression
• 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 analysis
• Positive pressure ventilation
• Receives and documents EMS patient reports and advises the Charge RN and/or Provider of patient condition and whether the patient meets trauma, stroke, STEMI, or sepsis alert criteria
• Nasogastric tube insertion and removal
• Reports to the Charge RN or ED Clinical Coordinators any broken or malfunctioning equipment
• Responds 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 access
• Set-up and monitoring of chest drainage systems and suction equipment
• Set-up suture trays, central line trays, and LP trays according to sterile procedure and assist with procedure
• Spinal immobilization and vehicle extrication for patients self-presenting to the ED with suspected spinal injury
• Splint application and neurovascular assessment
• Suture and staple removal.
• Take and document vital signs. Repeat vital signs per policy
• Tourniquet application
• Facilitating transportation of patients with diagnostic procedures, admissions, and discharges
• Universal precautions and infection control procedures according to hospital policy
• Venipuncture for the purpose of obtaining blood samples
• Wound irrigation and preparation for suturing
• Performs other duties as requested/assigned
• Vascular access
• Inserting and removing a peripheral intravascular catheter (including external jugular site) and intraosseous device
• Accessing implanted central IV ports, monitoring central lines
• Administration and evaluation of medications within scope of practice
• Each employee is responsible for implementing SJRMC’s Service Standards into their daily work: Safety, Courtesy, Effectiveness, and Stewardship

Physical Demands and Environmental Work Conditions:

• Must be able to lift fifty (50) pounds
• Must be able to proficiently perform all manual duties described above
• Must be able to amputate without restriction
• Must be able to use computer mouse and keyboard for documenting in the patient care record
• Must pass colorblindness test as defined by lab testing regulatory requirements