Paramedic

Paramedic - Erie Urgent Care

Boulder Community Health, Boulder, CO 80303

$23.98 - $35.97 an hour - Per Diem Days, Various hours per week

Range includes per diem differential. +$2.50/hr for weekend shifts.

Boulder Community Health is seeking a Paramedic for the urgent care departments. Under general supervision, a Paramedic provides basic to advanced emergency rescue and paramedical care to the ill and injured.

Benefits

•403(b)Retirement plan

•Education assistance program

•Staff Support Initiatives such as Sound Baths, Meditation, Massages, and Reiki

•Free one-on-one retirement planning sessions

•Employee Assistance Program offering 8 free, confidential counseling sessions for you and your family

Qualifications

•High School graduate or equivalent; higher degree or diploma preferred

•Current certification in the State of Colorado as a Paramedic

•NREMT

•BLS required through the American Heart Association

•ACLS required through the American Heart Association

•One year of experience as an EMT-P preferred

Responsibilities

•Contribute to Urgent Care Department operations and efficiency

o Assist NP in utilizing department flow and patient placement throughout Urgent Care Department

o Maintain competence in documentation and care of patients

o Utilize SBAR (Situation, Background, Assessment, and Recommendation) for communication

o Able to cover desk coordination and function tasks for communication, notifications, order entry support

o Attend meetings and in-services as required by departmental policy

•Perform the following technical skills:

o Vital Signs

o Oxygen Administration, BLS airway adjuncts

o Assist in airway management

o CPR

o IV initiation and removal on all ages

o Initiation of crystalloid fluid via IV, medication drip, and electrolyte infusions as specifically authorized in this Job Description

o Splinting and wound care including application of topical anesthetic, wound irrigation, preparation of dressings and steri-strips

o Patient specimen collections (nasal swabs, throat swabs, point of care monitoring, etc.)

o Suture/staple removal

About Boulder Community Health

Boulder Community Health (BCH) is a not-for-profit healthcare organization based in Boulder, Colorado, serving the Boulder County community. Our flagship facility, Boulder Community Hospital, along with several other locations, provides comprehensive care, including acute care, emergency services, psychiatric care, and outpatient services. BCH offers a wide range of specialties, including cardiology, oncology, orthopedics, maternity, and mental health care, with a strong emphasis on patient-centered, high-quality care.

We are dedicated to improving community health through advanced medical technology, evidence-based practices, wellness programs, and community outreach initiatives. BCH maintains strong partnerships with local physicians and supports public health efforts to promote healthy lifestyles and address health disparities.

As a Certified Level II Trauma Center, Boulder Community Hospital provides expert emergency care for serious and complex injuries while delivering comprehensive services across the full continuum of care.

EOE/Affirmative Action/Drug-free workplace.

BCH will never conduct interviews or ask for employment documents via text.

This position has no close date. Applications will be accepted until the position is filled.

POSITION SUMMARY

The paramedic assists practitioners in the daily functions in the Urgent Care Departments. The paramedic practices under the supervision, guidance, and instruction of an advanced nurse practitioner who is immediately available and physically present. They perform tasks and procedures within the scope of practice outlined in this job description and in line with Colorado Revised Statute 25-35-103. Additionally, this position administers certain classes of emergency medications in accordance with the Rules and Regulations in the same statute. The paramedic may only provide functions identified in this job description. Medical direction is provided by the Nurse Practitioner Liaison and Urgent Care Medical Director.

JOB QUALIFICATIONS

Education or Formal Training

• High School graduate or equivalent; higher degree or diploma preferred

Special Qualifications (Licensure, Registration, etc.)

• Current certification in the State of Colorado as a Paramedic
• NREMT
• BLS
• ACLS Provider

Knowledge, Skill and Ability

• Ability to effectively communicate to patients, family, and co-workers
• Basic knowledge of frequently used medical terminologies
• Knowledge of policies and procedures related to Urgent Care

Experience

• One year of experience as an EMT-P preferred

MATERIALS AND EQUIPMENT DIRECTLY USED

Standard medical/hospital equipment including sphygmomanometer, wheelchairs, stretchers, positioning aids, patient monitors, other laboratory instruments, and other office equipment including computer, intercom, telephone, copy machine and fax machine.

WORKING ENVIRONMENT/PHYSICAL ACTIVITIES

• Physical working environment may include, but not be limited to, any of the following hazards: chemical, electronic, mechanical, biowaste, explosive, radiation, etc.
• Environmental conditions may include, but not be limited to, variations in temperature, noise, odors, etc.
• While performing the duties of this job, the employee is required to constantly stand and walk. The employee frequently is required to stoop, crouch and twist. The employee is occasionally required to kneel, squat and sit.
• The employee must be able to consistently support, push, pull and/or lift up to 10 pounds, frequently support, push, pull and/or lift up to 30 pounds and occasionally support, push, pull and/or transfer up to 50 pounds (for example, moving a patient from a wheelchair to a bed.)
• Functional physical demands include manual dexterity, fine motor skills and reaching. The following senses will be needed for essential duties of the job: speech, vision, hearing, smell and touch.

INTERRELATIONSHIPS

• Patient and family communication and appreciation of ENCORE! values are essential.
• Directly responsible to the Nurse Practitioner. Development of a team relationship is necessary.
• Fosters and maintains a good working relationship with all other departments in the hospital as well as within the emergency department.

SUPERVISORY DUTIES

None.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Contribute to Urgent Care Department operations and efficiency
• Assist NP in utilizing department flow and patient placement throughout Urgent Care Department
• Maintain competence in documentation and care of patients
• Utilize SBAR (Situation, Background, Assessment, and Recommendation) for communication
• Able to cover desk coordination and function tasks for communication, notifications, order entry support
• Attend meetings and in-services as required by departmental policy
• Perform the following technical skills:
• Vital Signs
• Oxygen Administration, BLS airway adjuncts
• Assist in airway management
• CPR
• IV initiation and removal on all ages
• Initiation of crystalloid fluid via IV, medication drip, and electrolyte infusions as specifically authorized in this Job Description
• Splinting and wound care including application of topical anesthetic, wound irrigation, preparation of dressings and steri-strips
• Patient specimen collections (nasal swabs, throat swabs, point of care monitoring, etc.)
• Suture/staple removal
• Medication administration of medications listed herein are considered to be within the scope of the ED Medic's Colorado Paramedic Certification and may be administered as ordered, unless otherwise stated in this Job Description
• Medications not included in this Job Description may not be administered by an ED Medic
• Eye irrigation
• Triage and refer to higher level of care if out of urgent care scope of practice.
• Documentation of Intake Screens and pertinent reassessments in EHR
• Discharge patients within scope of care
• Initiate, administer and monitor continuous infusion of IV crystalloid solutions (e.g. normal saline, lactated ringers, D5%, normal saline, etc.)
• Review UC in basket results and call backs under direct supervision of the NP.
• Medication Paramedic may administer. Medications listed may be given any route ordered and appropriate, unless specifically limited in this job description. If the medic is not permitted by this job description to administer a specific medication, or a specific route, the medic cannot follow the order and the order must be carried out by staff authorized to perform the service.

Urgent Care Specific Medication List

Medications:

Acetaminophen

Acyclovir

Albuterol nebulizer solution

Amoxicillin chewables

Amoxicillin

Amoxicillin/clavulanate-Augmentin

Azithromycin (Zithromax)

Baby aspirin

Debrox Drops (Carbamide Peroxide)

Cephalexin (Keflex)

Ciprofloxacin

Cyclobenzaprine (Flexeril)

Dexamethasone ( Decadron)

Diphenhydramine (Benadryl)

Doxycycline hyclate

Erythromycin ophthalmic ointment

Famotidine (Pepcid)

Flourescein stain

Hyoscyamine(Levsin)

Ibuprofen

Icy Hot

Lidocaine patch

Ipratropium bromide/albuterol (DuoNeb)

LET Gel (lidocaine/epinephrine/tetracaine)

Lidocaine topical

Maalox

Meclizine

Nitrofurantoin (Macrobid)

Nitroglycerin SL

Ondansetron ODT

Oxymetazoline nasal spray (Afrin)

Penicillin VK

Prednisone

Proparacaine

Phenazopyridine (Pyridium)

Racemic epinephrine

Silver nitrate sticks

Sulfamethoxazole /TMP (Bactrim DS)

Valacyclovir (Valtrex)

Viscous lidocaine

Injectable medications

Ancef

Boostrix Tdap

Bupivacaine 0.5%

Bupivacaine with epi 0.5%

Ceftriaxone (Rocephin)

Dexamethasone (Decadron)

Diphenhydramine

Famotidine

Ketorolac (Toradol)

Lidocaine 2%

Lidocaine 2% with epi

Lidocaine 1%

Lidocaine 1% with epi

Metoclopramide (Reglan)

Naloxone (Narcan)

Ondansetron (Zofran)

Sumatriptan (Imitrex)

Methylprednisone (Solu-Medrol)

Triamcinolone (Kenalog)

• PROHIBITED FUNCTIONS: An UC Medic MAY NOT perform the following functions even with the express and direct delegation or supervision of an Emergency Physician:
• Initiate blood products
• Access central lines
• Bladder irrigation
• Administer any medication not identified in this Job Description, or administering a medication by a route other than the route authorized in this Job Description
• Receive verbal orders or phone orders from any physician (other than the ED physician)
• Provide hand off report to another facility
• Sign an EMS PCR for patient receipt (per CMS regulations)
• Employees are expected to comply with all regulatory requirements, including Joint Commission Standards.
• Is familiar with organization, department and job specific Environment of Care areas, including Life Safety, Utilities Management, Hazardous Materials Communications, Emergency Preparedness, Infection Control and Medical Equipment Failure.
• Adheres to Standard Precautions as appropriate, which may include:
• The use of protective barriers, as appropriate (e.g., gloves, masks, gowns, pocket masks, and/or safety glasses);
• Handling and disposing of infectious waste appropriately; and
• Hand washing as appropriate