Emergency Medical Technician (EMT-B) PRN
Under the general supervision of the Director of Emergency and Trauma Services, the
EMT identifies and implements interventions that have less predictable outcomes. The EMT functions as a member of the emergency care team.
The EMT is responsible for assisting with routine patient care assignments, working in controlled and/or uncontrolled patient care situations, assisting with/in established patient care procedures, and assisting in therapeutic, rehabilitative, and preventive activities. Employee will be responsible for knowledge and skill necessary to provide care based on physical, psychological, educational, safety and related criteria for the neonate, infant child, adolescent, adult and geriatric population. The EMT is responsible for treatments as prescribed by the physician.
Persons in this category are responsible for consideration of developmental issues of patients in each of the following identified age categories:
__x__ Infancy (birth to 1 yr) __x__Adolescent (12yrs to 18 yrs)
__x__Toddlers (1yr to 3 yrs) __x__Young Adult (18 yrs to 44 yrs) __x__Preschool ( 3 yrs to 5 yrs) __x__Middle Age (45 yrs to 65 yrs)
__x__School Child (5 yrs to 12 yrs) __x__Older Adult (65 yrs and over)
This position may from time to time require that patients be cared for outside the normal age group. In this event the person should consult available resources to provide appropriate care.
I. PERFORMANCE COMPETENCIES
A. ADMINISTRATIVE COMPETENCIES
1. Employee reflects HCA values and a sensitivity to HCA ethics and compliance principles in his/her daily activities.
a. Adheres to policies on appropriate access.
b. Respects patient confidentiality.
c. Upholds code of conduct.Personal Development/Learning Focus
1. Assumes responsibility for professional growth and development of self, utilizing professional organizations, workshops, seminars, and other self-directed learning activities as applicable.
2. Maintains awareness of current developments and trends in the provision of patient care services.
3. Maintains awareness of current hospital and departmental operational policies and procedures which impact on responsibilities of position.
4. Utilizes appropriate safety precautions and principles of good body mechanics at all times.
5. Is knowledgeable of standards established by Conroe Medical Center including, but not limited to: Fire, Safety, Infection Control, Disaster, and Universal Precautions.
6. Assists with the development of all personnel on his/her shift, including unit specific orientation and continuing education.
Performance Improvement & Business Sense
1. Actively participates in both departmental and hospital-wide process improvement efforts.
2. Plans and implements through multi-disciplinary means, strategies to reduce length of stay, and over/inappropriate consumption of resources.
3. Recognizes unsafe acts or conditions as defined by Conroe Medical Center policies and procedures, and takes immediate action to correct.
4. Evidences involvement in the institution and its policies by providing service on committees as recommended.
B. TECHNICAL COMPTENCIES
§ Ability to communicate verbally in writing.
§ Good clinical skills and judgment.
§ Patient assessment
§ Pulse oximetry
§ Oxygen administration
§ Use of oral adjuncts including oral and nasal airways, bag-valve mask device and oral suctioning.
§ Provision of CPR and ACLS as defined by the American Heart Association
§ Vital signs
§ Bandaging and splinting
§ Cervical spine immobilization
§ Manual techniques for airway provision, maintenance and support, relief of airway obstruction as prescribed by AHA
§ Control of external hemorrhage
§ Automatic external defibrillator*
§ Emergency childbirth
§ Blood Glucose assessment
§ IV access
§ Orotracheal intubation assist
§ Blood specimen collection
§ Obtaining 12-lead ECG
§ Nasogastric intubation/lavage
§ Nasotracheal intubation assist
§ Rapid Sequence Intubation Assist
The following is a listing of equipment personnel should be competent to operate. This is not meant to be all inclusive and may be expanded based on addition of new technology and/or unit specific.
1. 12-Lead Electrocardiogram/Defibrilator/Pacer
2. Central Monitoring System
3. Non-Invasive Monitoring System
4. Emergency (Code Blue, Fire) Call System.
5. Fax Machine
6. IVAC Thermometer
7. Meditech Computer System.
8. Oxygen Equipment
9. Patient Beds
10. Patient Intercom System
11. Suction Equipment
12. Telephone System
13. IV components
INTERACTIVE COMPETENCIES Leadership, Technical Ability, Initiative/Follow Through & Flexibility
1. Supports the philosophy of Conroe Regional Medical Center by facilitating cooperation of hospital staff in a multi-disciplinary approach to patient care.
2. Adheres to dress code, arrives to work on time, and initiates work in a timely manner.
3. Consistently provides outstanding service to all patients, physicians, fellow employees, and guests.
4. Displays initiative to see processes through to completion and offers assistance without being asked.
5. Maintains awareness of own limitations and seeks guidance from appropriate personnel as needed.
6. Prioritizes activities of self based on demands for service.
7. Remains alert to the detection of errors in own work and the work of others with appropriate corrective actions initiated.
8. Demonstrates an understanding of patient rights, including those pertaining to confidentiality, informed decision-making, and privacy.
9. Is aware of resources available for ethical concerns and makes appropriate referrals.
10. Practices cost-efficiently.
11. Performs technical skills proficiently in accordance with established standards, as evidenced by annual validation processes.
12. Utilizes specialized knowledge and skill to perform job requirements.
13. Demonstrates appropriate skills for assigned area/task.
14. Anticipates needed supplies/equipment prior to beginning assigned task.
15. Demonstrates ability to operate all departmental equipment.
16. Is responsible for all equipment and instrument checks for assigned area, assures they are in proper working condition. Keeps Unit Supervisor informed of any equipment or instrument problems.
17. Assists with room cleanup between patients/cases/assignments, cares for equipment and instruments, adheres to infection control policies.
18. Helps to maintain a safe and clean environment for patients and others.
19. Keeps department/area/rooms stocked and maintains adequate PAR levels of supplies (linen, forms, medical, orthopedic, etc.)
20. Demonstrates flexibility in schedule and assignments changes.Communication, Customer Focus & Teamwork
1. Communicates effectively with patients, physicians, hospital personnel, and others to fulfill position responsibilities.
2. Actively participates in hospital and departmental group meetings.
3. Consistently responds to requests in a positive, professional, and timely manner.
4. Consistently demonstrates behavior which reflects that working as a team is more important than self-interest.
5. Demonstrates interpersonal competencies such as effective problem-solving, negotiation, and conflict management skills.
6. Consistently maintains a professional level of conduct.
7. Facilitates communication with patients, physicians, guests, and coworkers.
8. Consistently demonstrates courteous and positive behaviors, e.g. smile, pleasant tone of voice, positive eye contact.
9. Practices full understanding that all department activities are under the supervision of the shift Unit Supervisor.
10. Utilizes appropriate lines of accountability for the continuous improvement of quality.
11. Ensures that problems/concerns regarding departmental activities are communicated with Unit Supervisor and/or Director.
12. Ensures that problems/concerns regarding activities in the hospital are communicated appropriately.
13. Protects confidentiality of patients/coworkers, respecting their dignity, privacy, and differences.
14. Shows respect for hospital property and the property of others.
15. Seeks help from appropriate resource as needed.
16. Anticipates patient needs and directs findings to appropriate personnel taking care of the patient.
a. Consistently provides outstanding service to all patients, physicians, fellow employees, and guests.
b. Displays initiative to see processes through to completion and offers assistance without being asked.
c. Consistently responds to requests in a timely manner.
d. Maintains awareness of own limitations and seeks guidance from appropriate personnel when needed.
a. Actively participates in department committees and group meetings with a focus on providing input to improve the quality of services.
b. Consistently demonstrates behavior, which reflects that working, as a team is more important than self-interest.
c. Demonstrates interpersonal competencies such as problem solving, negotiation, and conflict management to improve teamwork.
3. Attention to Behavior.
a. Consistently maintains professional level of conduct.
b. Facilitates communication with patients, physicians, guests, and co-workers.
c. Consistently demonstrates courteous and positive behaviors, i.e., smile, pleasant tone, and good eye contact.
a. Utilizes appropriate lines of accountability for the continuous improvement of quality.
b. Ensures that problems/concerns regarding activities in the hospital/department are communicated appropriately.
c. Protects confidentiality of patients/co-workers, respecting their dignity, privacy, and differences.
d. Shows respect for hospital property and the property of others.