Hybrid Emergency Services Tech Spec at CN Hospital

Minimum Education
High School Diploma or GED (Required)

Minimum Work Experience
2 years Direct patient care experience in an emergency setting and completion of an emergency, medical or nursing technician training program. (Required)

Required Skills/Knowledge
Comply with all Hospital/departmental policies/procedures regarding provision of patient care, competency validation and environmental safety.

Functional Accountabilities
Demonstrate Clinical Competence

• Identify need for , obtain and document patient vital signs accurately (T , P , R, BP , pulse oximetry , weight in kilograms)

• Recognize, document and report (to assigned RN/physician) changes in vital signs, color, breathing, behavior , consciousness level or neuro-vascular status of limb that deviate from normal for patient/age group.

• Set up, attach and document correct placement of monitoring equipment, including alarm limits.

• Anticipate need to assemble, set up, and place patient on correctly and document oxygen/cool mist delivery via face mask, nasal cannula, trach collar , blow-by and resuscitation equipment.

• Apply , maintain, discontinue and document use of patient restraint devices according to Hospital policy .

• Perform/document POCT using correct procedure independently.

• Perform/document independently phlebotomy and IV starts on difficult patients using correct skin preparation.

• Set up and attach IV fluid and pump using aseptic technique, documenting procedure on appropriate treatment record/flow sheet.

• Perform and document basic and complex wound care including wound cleansing, bandaging and burn debridment/care.

• Assist with establishing and maintain patient in full spinal immobilization (on stretcher with backboard and stiff-neck collar in place).

• Perform orthopedic procedures independently including plaster and non-plaster splints, slings, immobilizers, and ice.

• Assemble and fit patient crutches independently.

• T each crutch-walking to patients independently .

• Assist in meeting stable and unstable helicopter arrivals as assigned by charge nurse.

• Assist Triage nurse by calling patients, explaining triage procedure, obtain/document pertinent information, vital signs, provision of basic first aid; alert RN if patient appears ill (does not perform independent triage).

Assist with Patient Flow

• Role model maintenance of a clean and orderly care environment.

• Independently prepare examination room to receive patients as soon as they become empty .

• Call patient to treatment area at direction of Charge Nurse including ID band application, obtain weight, escort to room and assist patient into appropriate gown for exam.

• Provide/assist family with basic care needs including linen/diaper change, skin cleansing, positioning, hydration via bottle/cup, comfort measures, play activities, etc.

• Provide safe environment for patients (e.g., side rails up, ID band in place, call system available, etc.).

• Independently assemble equipment/supplies for anticipated examinations and procedures.

• Independently assist care team members with examinations and procedures (does not include medication preparation/administration).

• Transport patients on unit and to other Hospital departments, as assigned by RN, using appropriate vehicles and ensure that patient ID band is in place.

• Independently document all vital signs, weights, procedures, observations accurately on appropriate treatment records/forms.

• Prioritize routine tasks and special requests from other team members with guidance from assigned RN in order to accomplish timely completion of all tasks.

Promote Positive Communication

• Document all vital signs, weights, procedures, teaching, observations accurately on appropriate treatment forms.

• Maintain therapeutic care environment by using tactful, diplomatic communication with patients, families, visitors, care team members and other Hospital personnel.

• Use problems-solving skills and assistance from other care team members as necessary when confronted with unfamiliar situations or problems.

• Obtain equipment supplies and required services from other departments with appropriate method, tact and diplomacy.

Provide Comforting Approach to Patients & Families

• Address patient/family in a kind, supportive, friendly manner.

• Respond to questions and requests in a helpful manner.

• Speak to patient and family at a level appropriate to their level of understanding.

• Orient patient and family at the time of the visit to the geography and governing rules of the care area and Hospital.

• Comfort anxious patient undergoing procedure by remaining with them and using distractions (talk, touch, song, etc.).

• Communicate with/monitor assigned patients throughout the visit and report family/patient concerns and complaints to the Charge Nurse or Attending Physician.

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Organizational Accountabilities
Self Responsibly

• Follow physician orders and nursing directives within scope of practice.

• Secure personal items and valuables in assigned locker.

• Remain on unit during assigned tour of duty, notify charge nurse and appropriate care team members when leaving the unit for patient care related errands (e.g., Pharmacy pick-up, assisting patient to inpatient unit, etc.) or assigned breaks.

• Use designated staff areas for smoking; does not eat in patient care areas.

• Leave patient care area when assigned shift is completed, replacement staff member is present, and report is given.

• Use downtime productively during assigned tour of duty.

• Attend mandatory in-service/educational programs to learn about new procedures, skills, products, equipment.

Organizational Commitment/Identification

• Partner in the mission and upholds the core principles of the organization

• Committed to diversity and recognizes value of cultural ethnic differences

• Demonstrate personal and professional integrity

• Maintain confidentiality at all times

Customer Service

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently

• Search for less costly ways of doing things

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