ER Tech Senior Lindale ER at CHRISTUS Health

Summary:

Emergency Care Center Technician Senior works with the RN’s in the Emergency Room to provide care to patients. They have special skills beyond those of a basic Emergency Technician; for example, they can perform venipuncture, dress wounds, removal staples and sutures, and measure peak expiratory flow rate.

Responsibilities:

• Gives basic care to patients in a compassionate manner.
• Takes and records the following vital signs and reports any change or abnormal findings to the RN: Temperature, pulse, respiration rate, and blood pressure.
• Gives the following treatments, maintaining respect for patient’s privacy: weigh patient, test urine (acetone, sugar, blood), apply warm/cold compresses, apply ice caps, and care for body after death.
• Collects specimens according to RN’s instructions and to the procedure. Urine and stool specimens are labeled and taken to lab. Also performs Accuchecks/blood sugar
• Assists patients to and from bathroom
• Positions patients according to RN’s instructions (fowler, semi-fowler, etc.) and changes position as frequently as ordered and using good body mechanics
• Assists with stringing IVs under the direction of the Emergency Department nurse.
• Assumes certain nursing functions and responsibilities under the guidance of a Licensed nurse
• Is responsible for the following in admission of patient: bringing patient to room from admitting or ER as needing ; assisting patient to bed and applying arm band; obtaining and reporting to RN vital signs, height, weight, and history of allergies; assuring patient is comfortable and orientated to surroundings; and assisting RN with initial interview.
• Is responsible for instructing and explaining the following in patient/family orientation: call signal, smoking policy, and side rail policy. Is responsible for the following in patient discharge: helps patient collect personal belongings; takes patient per wheelchair to lobby or car; and removes all equipment from room, cleans, and returns to SPD or storage area.
• responsible for the following in transferring patient:
• Collects patient s personal belongings, assembles equipment to go with patient, accompanies patient to new room, and stays with patient until floor nurse enters room.
• Is respectful to patient’s right to privacy and confidentiality: knocks before entering room, does not expose patient unnecessarily in giving care, closes door when giving a treatment, and keeps patient information confidential.
• Answers call lights promptly and with a peasant, helpful attitude
• Observes the RN performing the following procedure and nursing functions. Then after a satisfactory return demonstration to RN, the EDT may perform procedure and nursing functions independently, under the direction of the RN.
• Check restraints frequently to make sure patient has not removed them or that they are neither too loose nor too tight. Obtains permission of RN before removing them for any reason.
• Notifies RN of any “beeping” infusion pumps. Checks fluid level in bag and notifies RN when it is low.
• Notifies RN immediately if any swelling, redness, or if the patient complains of anything. Assembles IV equipment without receiving instruction from the ER Nurse.
• Inserts Foley catheter using good technique and displaying proper knowledge about catheterizing patient.
• Assures that there is no pull on the catheter while giving care. Assures that there are no kinks in the catheter or loops that fall down below the level of urine in the drainage bag. Assists the RN in giving Foley catheter care. Collects specimens as instructed by RN.
• Is conscious of maintaining a sterile atmosphere by knowledge of sterile technique.
• Demonstrates proper cleansing and preparation of wounds. Can properly assist physicians with suture repairs.
• Can properly suction secretion/fluid from mouth, throat, and nose.
• Is knowledgeable in shock management by knowing properly apply pressure to a bleeding wound. Can properly apply pneumatic anti-shock trousers.
• Can properly apply cardiac monitor (EKG) leads.
• Can properly handle fracture and apply splints and slings as physician orders. Can fit the patient crutches properly. Knows and utilizes proper body mechanics.
• Understands the importance of the “No Smoking” sign on the door. Replaces mask or cannula if they become displaced. If tent in use, assures that ends of tent are tucked in at all times. 
• Promptly reports to RN if patient complains or looks like having difficulty in breathing.
• Assists physician with application of casts and splints. Assumes position of the limb is maintained as instructed by RN. Notices swelling, coldness, redness, or discoloration of toes or fingers and reports to RN. Reports any bleeding through cast or complaint of pain to the RN.
• Ensures side rails remain up and patient remains in bed after pro-op medication is given.
• Applies anti-embolitic hose appropriately and in correct size.
• Assists in moving patient to stretcher.
• Safely performs surgical shaves and preparation of skin.
• Takes vital signs as requested by RN for post-op care. Assists with turning, coughing, and deep breathing as instructed by RN.
• Can properly perform EKGs.
• Performs phlebotomy skills.
• Contributes toward maintaining a clean, safe environment for the patient and assumes certain responsibilities for the care and use of equipment.
• Ensures beds are in low position except when raised to give care and are locked at all times.
• Adheres to procedure for transferring patients to chair, wheelchair, stretcher and in transporting patients in wheelchairs and stretchers.
• Ensures that stretcher is locked.
• Ensures that there is a clear pathway from patient door to bedside at all times.
• Assists in maintaining a clean environment by practicing good hand washing.
• Adheres to isolation procedures.
• Reports condition of un-cleanliness on unit to Shift Coordinator.
• Knows the use and operation of equipment he/she is required to use.
• Knows the care and location of all other equipment used on the unit.
• Uses supplies economically and only for use intended.
• Knows how to stock and maintain equipment in the department.

Requirements:

• EMT or Paramedic
• Two (2) years of patient care experience in an acute care hospital or EMT field/Emergency Care Setting required.

Work Type:

Full Time

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