Paramedic / Patient Care Extender ED

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Location: Peabody, MA
Job ID: 158564-1A
Date Posted: Apr 3, 2020
Category: Clinical Technician

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Job Description

Welcome To

Welcome to Lahey Hospital & Medical Center, part of Beth Israel Lahey Health. Lahey Hospital & Medical Center is a world-renowned tertiary medical center known for its innovative technology, pioneering medical treatment and leading-edge research. A teaching hospital of Tufts University School of Medicine, the hospital provides quality health care in virtually every specialty and subspecialty, from primary care to cancer diagnosis and treatment to kidney and liver transplantation. It is a national leader in a number of health care areas, including stroke, weight management and lung screenings, among many others. Lahey also helps to advance medicine through research and the education of tomorrow's health care leaders.

About the Job

Statement of Purpose: Under the direction and supervision of the Registered Nurse and/or Emergency Physician, the Patient Care Extender supports staff in the care of patients of all ages presenting to the Emergency Department. The Patient Care Extender is primarily responsible for performing a variety of direct and indirect patient care activities as delegated by the nurse upon the order of the Emergency Physician, the Patient Care Extender may perform advanced life support skills permitted within the Paramedic level of certification such as intubation, defibrillation and administration of ACLS resuscitation medications. The Patient Care Extenders must have skills and competencies verified by an Emergency Department Attending.

Job Functions, Tasks, and Responsibilities:

1. Under the direction of the Emergency Department MD, performs the following:

  • Intubation
  • Insertion of I/O
  • Cardioversion
  • External Pacing
  • Administration of Emergency Medications that are within the scope of Paramedic via Intramuscular, Intravenous, Subcutaneously, Intranasal.
  • Vent management, CPAP, Bi PAP, Hi -Flow

    2. Responds to in house emergencies as a member of the MET team and Code team


    3. Performs and/or assists the nurse or physician in the performance of direct patient care


    a) Performs /assists in the performance of procedures including holding limbs for casting,

    hot and cold application, wound cleansing, spinal immobilization, CPR and patient restraint.

    b) Collects and records measurements including intake and output, vital signs (including

    orthostatic and rectal temperatures), bedside finger stick blood sugar and patient weight as


    c) Places patient on cardiac monitor, obtains EKG and applies oxygen as directed

    d) Performs phlebotomy. Obtains urine and stool ordered

    specimens accurately and timely.

    e) Initiates peripheral IV access


    4. Performs and/or assists nurse in the performance of non patient care activities related to the day to day operations of the department.

    a) Prepares, stocks and maintains patient rooms with needed supplies and equipment.

    Restocks blanket warmer and IV prep area. Washes and changes stretchers between

    patients as needed.

    b) Monitors and maintains established levels of supplies within the department. Identifies

    floor stock inventory needs and notifies nurse of needs.

    c) Assists in maintaining equipment including routine equipment preparedness checks. (i.e.

    Defibrillator checks).

    d) Sets up for suturing and other procedures/ exams using sterile technique, dismantles after

    completions of procedure/exam safely and correctly.

    e) Transports and/or assists in the transport of patients using wheelchair or stretcher, in a

    safe manner.

    g) Provide transportation of critical care patient to radiology when appropriate.


    5. Provides and/or assists patient in the performance of activities and daily living

    a) Provides general basic care such as positioning the patient, lifting and turning, in the performance of activities of daily living. Use of bedpan, commode, urinal or bathroom and bathing.

    b) Assists patients requiring help with ambulation and feeding

    c) Assists patients to dress/undress and cares for patient belongings, including bagging and

    labeling same.


    6. Provides written and/or verbal communication of duties performed.

    a) Completes documentation of all patient care related activities appropriately, accurately

    and timely in the medical record.

    b) Reports status of and/or physical or behavioral changes in patient’s condition to the nurse

    in a timely manner. Immediately reports any unusual incidents.

    c) Answers call bells or uses intercom to determine patient needs and as advises nurse of

    needs beyond the scope of position.

    d) Answers ambulance radio calls and timely communicates information collected to nurse

    in charge.


  • High School diploma or equivalent
  • National/Massachusetts Paramedic Certification in Massachusetts
  • Prior experience in hospital emergency care or critical care transfer experience 2+ years preferred.

SHIFT: 20 hours, 2nd shift

About Us

Beth Israel Lahey Health is an integrated system providing patients with better care wherever they are. Care informed by world-class research and education. We are doctors and nurses, technicians and social workers, innovators and educators, and so many others. All with a shared vision for what healthcare can and should be. We are committed to attracting, developing and retaining top talent. We strive to create a diverse and inclusive workplace that reflects the communities in which we work and serve. With a team approach to care, we encourage learning and growth at all levels and offer competitive salaries and benefits.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.