Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.

Provides patient care as directed by emergency department (ED) RNs and Providers according to department established standards and procedures.

Required Behaviors:

• As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.

Required Qualifications:

• High School diploma or GED
• Healthcare Provider BLS Certification
• State of New Mexico EMT Intermediate licensure

Preferred Qualifications:

• Healthcare related work or volunteer experience

All EMT Intermediate Duties and Responsibilities:

• Implements MD orders under supervision of an RN as allowed under this purpose description. The following list of skills and procedures is included:
• 1. Splint application
• 2. Wound irrigation and preparation for suturing
• 3. 12 lead EKGs
• 4. Foley catheter insertion
• 5. Venipuncture for the purpose of obtaining blood samples
• 6. Vascular access; inserting a peripheral intravascular catheter or intraosseous device
• 7. Administration of 0.9% NaCl flush as needed
• 8. Initiate and administer IV fluids as ordered under the direction on an RN or Provider
• 9. Point of care (POC) testing including glucose, urine dip, strep, and pregnancy testing, i-Stat testing of venous and arterial blood samples and blood alcohol testing via breathalyzer analysis
• 10. Performs daily duties of POC quality control checks, stocking, and temperature checks as outlined on the Tech Daily Assignment sheet
• 11. Upon initiation by an RN or Provider, application of restraint or seclusion in an emergency situation in order to ensure the immediate physical safety of patients, staff or visitors when other less restrictive interventions have been deemed ineffective
• 12. Act as an observer for a restrained/secluded patient or AT Risk patient requiring observation
• 13. Performance of CPR as indicated and/or directed, including BVM ventilation and chest compressions

• Defibrillation as directed by the ED code team using an AED
• Responds as member of ED code team to patients requiring resuscitation in other departments on the first floor of the hospital for the purposes of performing CPR and establishing IV access
• Performs as a member of the trauma resuscitation team
• Spinal immobilization and vehicle extraction for patients self-presenting to the ED with suspected spinal injury
• Set up suture trays and central line trays according to sterile procedure
• Set up of rapid infuser, chest drainage systems, and suction equipment
• Provides patient education and training in use of immobilization devices as well as ambulation assistive devices
• Performs intake assessment based on current ED Intake Criteria on patients presenting through ED lobby. Identifies need to call Charge RN or Provider for emergent patients. Other intake duties include:
• 1. Performance of 12 lead EKGs within 10 minutes of arrival for patients presenting with chest pain
• 2. POC testing as indicated
• 3. Repeat vital signs per policy on patients waiting in the ED lobby
• 4. Performs suture removals

• Receives and documents EMS patient reports from the field, advises the Charge RN and/or Provider of patient condition, and whether the patient meets trauma, stroke, STEMI, or sepsis alert criteria
• Acts as a patient and family advocate recognizing changes in patient condition and reports this information to an RN or Provider as indicated
• Performs Legal Blood Alcohol blood draws at the request of Law Enforcement personnel
• Documents all procedures and patient care interventions performed in the patient care record
• Acts in capacity as department unit secretary
• Facilitating transportation of stable patients with diagnostic procedures, admissions, and discharges
• Assists with the transportation of patients to and from the helipad
• Assists with lifting and transfer of patients
• When acting as Lead Tech, ensures that all daily tech duties are assigned and completed
• Reports to the charge nurse or ED Clinical Coordinators any broken or malfunctioning equipment
• Utilizes universal precautions and infection control procedures according to hospital policy
• Cleans patient rooms and patient monitoring equipment between patient care episodes
• Acts as a member of the procedural sedation team
• Removal of NG tubes under supervision or direction of an RN or Provider
• Administration and evaluation of the following medications under ED RN of provider Direction:
• 1. Oral Glucose preparations
• 2. Aspirin PO for adults with suspected cardiac chest pain
• 3. Acetaminophen or Ibuprofen PO for pediatric or adult patients with fever
• 4. Albuterol, Ipratropium, or Xopenex via nebulized inhaled administration
• 5. Activated Charcoal PO
• 6. Naloxone bysubcut, IM, or intranasal administration
• 7. Epinephrine 1:1,000 SQ or IM no single dose greater than 0.3 ml for anaphylaxis and known asthmatics in severe respiratory distress
• 8. Epinephrine 1:10,000 IV for cardiac arrest based on current dosage for adult and pediatric patients
• 9. Anti-emetic medications, PO, IM or IV
• 10. Diphenhydramine PO or IV for allergic reactions or dystonic reactions
• 11. Corticosteroids PO, IM, or IV
• 12. Lidocaine 2% preservative and epinephrine free for intraosseous device use on adult patients for pain control
• Each employee is responsible for implementing SJRMC’s Service Standards into their daily work:

                                                   Safety, Courtesy, Effectiveness, and Stewardship

• Other duties as assigned

Physical Demands and Environmental Work Conditions:

• Must be able to lift fifty (50) pounds
• Must be able to proficiently perform all manual duties described above
• Must be able to ambulate without restriction
• Must be able to use computer mouse and keyboard for documenting in the patient care record
• Must pass colorblindness test as defined by lab testing regulatory requirements