CERT-ER TECH

Job Summary:

The Certified ER Tech performs under the direct scope of practice as agreed upon by the Emergency Department Medical Director and within the scope of practice defined by the Mississippi State Department of Health, Bureau of Emergency Medical Services, and the National Registry of Emergency Medical Technicians (NREMT). The Certified ER Tech is under the direct supervision of the Emergency Department RN and the Emergency Department Medical Director and/or physician designee and accountable to the Patient Care Coordinator. Is responsible for facilitating age-appropriate, culturally and ethnically sensitive care, maintaining a safe environment, educating patients and their families, collecting information, communicating effectively, and utilizing technology. The Certified ER Tech participates in the assessment, planning, implementation, and evaluation of the delivery of health care services and tasks. The role of the Certified ER Tech also includes patient advocacy, teaching, performance improvement, and the oversight of unlicensed personnel.

Performance Expectations:

Communicates and collaborates with the RN and Emergency Department Provider Obtains patient name, date of birth, and nature of visit Obtains vital signs and documents in the electronic medical record Performs blood glucose testing Performs phlebotomy/peripheral venous blood specimen Tracks/maintains equipment/supplies Performs intake and output and documents in the electronic medical record Performs removal of sutures/staples Picks up blood products Obtains specimens Places patient on cardiac monitor Performs EKG Cleans and dresses wounds Assists physician and nurse with procedures Assists RN in application and monitoring of restraints Initiates Rest, Ice, Compression, and Elevation (RICE) Apply splints to extremities Measures, applies, and teaches assistive devices (crutches, boots, etc.) Performs eye irrigation Performs suctioning (ET, OP, NP) Transports monitored/non-monitored patients Transports intubated patients with RN/RT Inserts peripheral IV (PIV) Remove peripheral IV (PIV) Inserts intraosseous (IO) access Removes intraosseous (IO) access Documents in the Electronic Medical Record Attaches oxygen as ordered Administer approved medications Approved Medications for Administration by ED Tech Ill (Paramedic) Medication Dose Route Acetaminophen 120mg Suppository Acetaminophen 325mg Tablet

• PO Acetaminophen 500mg Capsule
• PO Acetaminophen 80mg Suppository Acetaminophen 650mg Suppository Acetaminophen 160mg/5ml suspension 5ml PO Acetaminophen/codeine 30mg Tablet
• PO Aspirin 325mg Tablet
• PO Aspirin (ECOTRIN) 325mg Tablet
• PO Aspirin 81mg {

ECOTRIN L/S

) 81mg Tablet

• PO Aspirin chewable tablet 81mg Tablet
• PO Atropine 0.1mg/1ml l0ML syringe 0.lmg/ml IV Butalbital/APAP/Caffeine {Fioricet) 1 tab Tablet
• PO Cyclobenzaprine 10mg Tablet
• PO Dexamethasone 4mg Tablet
• PO Dexamethasone 4mg/ml IM Diphenhydramine 25mg Capsule
• PO Diphenhydramine S0mg/mL IM Epinephrine 0.lmg/ml IV Famotidine 20mg Tablet
• PO Famotidine 20mg/2ml IM/IV Furosemide 20mg/2ml IM/IV Furosemide 40mg/4ml IM/IV Glucagon lmg/ml IM Glucose gel 1 tube PO Hydrocodone/APAP (Lortab 7.5) 7.5-325mg/15ml 15ml Cup
• PO Hydrocodone/ APAP 10mg/325mg 10mg Tablet
• PO Hydrocodone/ APAP 5mg/325mg 5mg Tablet
• PO Hydrocodone/APAP 7.5mg/325mg I 7.5mg Tablet
• PO Hydromorphone 2mg Tablet
• PO Ibuprofen 200mg Tablet
• PO Ketorolac 10mg Tablet
• PO Ketorolac 30mg/ml IM Ketorolac 60mg/2ml IM Methylprednisolone acetate 40mg/ml IM Methylprednisolone Na succinate 40mg/ml IM Naloxone 0.4mg/ml IV Neomycin/Bacitracin/Polymyxin packet 1 packet Topical Ondansetron 4mg/2ml IM/IV Ondansetron 4mg Tablet
• PO Ondansetron ODT 4mg Tablet
• PO Oxycodone (roxicodone) 15mg Tablet
• PO Oxycodone (roxicodone) 5mg Tablet
• PO Oxycodone/ APAP 10mg/325mg 10mg Tablet
• PO Oxycodone/ APAP 5mg/325mg 5mg Tablet
• PO Oxycodone/APAP 7.5mg/325mg 7.5mg Tablet
• PO Pantoprazole 40mg Tablet
• PO Promethazine 25mg Tablet
• PO Promethazine 25mg/ml IM/IV Tramadol 50mg Tablet
• PO Ziprasidone 20mg IM 40mg/ml 40mg/ml IM 0.4mg/ml IV 1 packet Topical 4mg/2ml IM/IV 4mg Tablet
• PO 4mg Tablet
• PO 15mg Tablet
• PO 5mg Tablet
• PO 10mg Tablet
• PO 5mg Tablet
• PO 7.5mg Tablet
• PO 40mg Tablet
• PO 25mg Tablet
• PO 25mg/ml IM/IV 50mg Tablet

• PO IM IM IV

  Topical IM/IV Tablet
• PO Tablet
• PO Tablet
• PO Tablet
• PO Tablet
• PO Tablet
• PO Tablet
• PO Tablet
• PO Tablet

• PO IM/IV

  Tablet

•

PO IM IV

Fluids 0.9% Sodium Chloride Lactated Ringers Other ACLS Code Medications during cardiac arrest Immunizations including but not limited to Tetanus Toxoid, Tdap boostrix, Hepatitis, Rabies, Influenza, COVID, etc. Paramedic (Tech Ill) Role in the ED Roles & Responsibilities Not allowed Competent to perform focused assessment to include documentation Vital signs EKG Blood glucose monitoring POC urine testing Venous blood sampling Nasal swab specimen collection IV initiation and removal Insertion and removal of intraosseous (IO) access Remove sutures/staples Initiate cardiac monitoring Performs suctioning (ET, OP, NP) Assists RN in application and monitoring of restraints Clean and dress wounds Initiates RICE (rest, ice, compression, and elevation) Application of splints as ordered C-collar application Measure, apply, and teach assistive devices (crutches, boots, etc.) Performs eye irrigation Transports monitored and unmonitored patients (telemetry patients must be transported with defibrillator) Attaches oxygen as ordered Answers ambulance radio reports Paging STEMI, Stroke Standby, and Traumas as ordered Administers approved PO, IM, IV, topical, SQ, and rectal medications Initiation of ACLS protocols Chest tube monitor and management Urinary catheter placement Intubation Needle decompression of chest Initiation of blood administration InitiaI triage Initial primary assessment Transport of critical care patients Pediatric fluid bolus Medications NOT listed in attachment External Jugular Access Capable of performing all roles of ED Tech I and ED Tech II. ' j

Qualifications:

Education/Skills Successful completion of a nationally accredited paramedic program that meets all other state requirements and holds a valid National Registry Certification from the National Registry of Emergency Medical Technicians (NREMT).

Work Experience:

3 years in EMS system with moderate to high volume strongly preferred. Equivalent work related experience in a hospital or in the military maybe considered. Certification/Licensure-DUE

UPON HIRE

Valid National Registry Certification from NREMT Additional Certification/Licensure

• Obtained based on required timeframe below Basic Life Support Within 30 Days of Employment Required Advanced Cardiac Life Support Within 90 Days of Employment Required NIH Stroke Scale Within 90 Days of Employment Required Pediatric Advance Life Support Within 180 Days of Employment Required Must maintain certifications.

Mental Demands:

Ability to perform tasks quickly, cooperate with others, take orders and follow directions precisely, demonstrate initiative, understands emotional stress of patients, families, and other staff during emergency or crisis situations, understands and utilizes appropriate coping mechanisms in dealing with death and dying.