Job Summary / Purpose

The paramedic implements individual patient care in the clinic according to established practice protocols, policies and procedures.  The CNA assists physicians, nurse practitioners, and physician assistants in clinical duties to ensure patients and families receive the highest quality care and knowledge promoting patient wellness.  The paramedic may also transport patients and act as a sitter. The paramedic will practice nursing in accordance with the North Dakota Nurse Practice Act and the limitations of their scope of practice.

Essential Key Job Responsibilities

1. Functions within the scope of practice of a Paramedic as defined within North Dakota regulations. This position may take a patient assignment but must be overseen and cosigned by an RN.

1. Provides patient care and performs patient care procedures:

1. EKG
2. Accu checks
3. CPR
4. Crutches
5. Ace bandage application
6. Splint application
7. Wound cleansing 
8. Dressing 
9. Immobilization
10. Medication administration under medical/nursing direction (IM, IV, oral ASA and Tylenol, oral analgesics)
11. IV insertions, IO insertion and EJ insertions
12. Foley catheterization
13. Re-assessment of patient condition and status. 
14. Documentation on the EMR (vital signs, assessments, medications, etc.)
15. Independent transportation to inpatient units
16. Oxygen administration 
17. Cardiac monitoring and rhythm interpretation
18. Spinal stabilization and immobilization
19. Extrication of patients

1. Responds to code and trauma activations in the ED and, when requested, on the hospital campus and assisted with             delegation from the primary RN.

1. Provides patient transportation as requested.

1. WILL NOT perform triage, initial patient assessment, provide dismissal instructions, administer antibiotics or Thrombolytics and other high-risk medications as determined by the facility.

1. Consults as needed with supervising nurses and ED physicians regarding patient condition and treatment.

1. Maintains strict patient confidentiality.

1. Maintains professional and positive attitude to staff and patients.

1. Follows policies and procedures of Commonspirit Health.

1. Maintains a customer-service, patient-focused environment.

1. Participates in QI activities and efforts to improve patient care processes.

1. Advises providers and nursing leadership regarding any practice issues or patient care concerns.

1. Attends staff meetings, in-services, and other departmental meetings as requested.

1. Provides evidence of on-going continuing education activities and maintains current educational requirements.

1. Other duties as assigned by leader and organization within the scope of practice of the paramedic. 

1. Able to assume care for patients with acuity levels of 3,4,5 under the supervision of a RN after initial assessment of chief complaint is completed.

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.