Emergency Department Technician Advanced - Dartmouth-Hitchcock Health

Our Emergency Department unit has 43 beds staffed by RN’s, LPN’s, Paramedics, EMT’s, and LNA’s. We are the only Level 1 Trauma Center in the state of NH and work closely with our system affiliates to accept patients requiring critical/neurological/cardiac/obstetrical/medical or trauma care. Our unit sees a large volume of referrals, transfers and trauma consults from outside facilities, and provides services for the local community. We see 31,000 patients annually to include neonates through geriatric populations in various states of health, often times with multiple diseases processes. Our nurses are trained for resuscitation, acute care, outpatient care, trauma care, mental health and are proceduralists delivering bedside moderate sedation. A typical day for a nurse would involve assisting in a fracture reduction for an adult skier injury, caring for a pediatric patient with uncontrolled asthma, managing a homeless victim found unresponsive in the snow in need of resuscitation, and caring for a cardiac arrest or stroke victim. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions.  

ROTATING SHIFTS:

7a to 7P, 10a to 10p, 11a to 11p, 1p to 1a, 7p to 7a

The ED Tech Advanced provides patient care and operational support for patients in the Emergency Department during varying states of health and illness. The ED Tech Advanced functions as an integral part of a multidisciplinary team and must be able to prioritize and manage multiple responsibilities while demonstrating excellent communication skills. Duties are performed in accordance with hospital policies and procedures under the direction and supervision of the nurse manager.

1. Assists with patient care activities under the supervision of the Registered Nurse including, but not be limited to, performing activities of daily living (ADL's), obtaining clinical data, including vital signs, EKGs, utilizing universal precautions, collecting specimens, performing point of care testing and recording results in medical record.
2. Under the supervision of the Registered Nurse or Physician starts intravenous lines with saline lock and administers intravenous fluid (normal saline or lactated ringers) with a written physician order. Performs intramuscular injections, delivers medications sublingually via nebulizers, intravenously or intranasal.
3. Applies splints and immobilizers, removes IV’s after completion of competencies.
4. Assists in maintaining a clean and safe work environment by keeping the hallways clear, emptying linen bags etc., to keep the unit neat and tidy.
5. Restocks patient rooms, supply carts and equipment units.
6. Assists visitors, volunteers, and patient family/friends.
7. Mentors new co-workers to the unit.
8. May assist in monitoring and/or caring of patients who require close observation (suicidal/elopement risks, patients in restraints and/or seclusion).
9. Performs administrative functions including answering phones, faxing, managing critical communication and able to prioritize and multi task during periods of high stress.
10. Manages patient health information and electronic medical records.
11. Performs other duties as required or assigned.

• A high school graduate or equivalent required.
• Excellent communication skills desired with the ability to work collaboratively as member of multi-disciplinary team in a chaotic environment.
• Demonstrates excellent customer service skills and keyboarding skills

• National Registered (EMT-A) Emergency Medical Technician Advanced certification from the New Hampshire Bureau of Emergency Medical Services. (NHBEMS) required.
• Basic Life Support (current)
• Management of Aggressive Behaviors (MOAB) required within 6 months of hire