ED Tech (8P-8A)

Nemours is seeking an ED Tech (EMT certification required) to join our Nemours Children's Health team in Wilmington, DE.  This position is responsible for: Assisting with general activities of the Emergency Department and assist the health care team with performance of patient care activities, under the direction and guidance of a Registered Nurse.  The position is 36 hours weekly 745P-815A. Every third weekend; 2 holiday requirements a year, one summer holiday and one winter holiday. As a tech in the ED, you will respond to some non-patient emergencies throughout the campus. 

Position Responsibilities

• Additional miscellaneous duties and responsibilities, as may be assigned from time to time by employee’s supervisor.
• Continually assess patients according to the pediatric assessment triangle (Note and changes in condition & recognize any immediate life threats.
• Assist Rapid Assessment nurse with Rapidly Assessing new patients. (Vital Signs Clean and dress wounds, POCT, Assist Rapid assessment nurse in giving medications or any interventions.
• Vehicle extraction of injured patients (Patients arriving to ED via private auto needing assistance out of vehicle): Maintain C-spine, stabilize broken bones with splinting and remove from car.
• Room patients in Emergency Department according to acuity and discretion of areas available after discussion with Flow Supervisor.
• Report and document all changes and complications in flow to Supervisor.
• After rooming patients’ initial assessments for need of specific monitoring. (Cardiac Monitors and/or Pulse Oximetry)
• Document all intake and output.
• Maintain level of communication with RN for VS out of normal limits, or any changes in patient’s status.
• Maintain accurate vitals based on patients’ acuity/severity (Q15, Q30, Q45, Q1hr, Q2hr, Q4hr)
• Assist healthcare team with holding for procedures such as Lumbar Puncture, IV catheter insertion, Laceration Repairs, Suctioning, Urinary Catheterization, POCT, other items as necessary.
• Perform EKG’s, Nasal Washes, Flu Testing, Visual Acuity, Phlebotomy, including Stat Phlebotomy lab testing: bilirubin test, newborn screen test (for outpatients during weekend hours)
• Perform POCT for assigned patients: Urinalysis, Rapid Strep Test, Gastro/Hemoccult, HCG test, Glucose Test.
• Transport patients to the Inpatient units, radiology, MRI, Operating Room, ECG, Ultrasound, PICU, NICU, and multiple clinics. (Monitor patients on oxygen and pulse ox monitors/cardiac monitors during transports)
• Respond to “Stat Responses” in Emergency Department.
• Initiate and continue CPR for patients in Cardiac Arrest.
• Respond to all “Code Blues” on the first and ground floor with stretcher, EMS bag, AED and are prepared to begin resuscitation on scene.
• Function in Trauma Codes and Alerts. Remove patient clothes, apply cardiac leads, pulse OX, hold C-spine stabilization, get vital signs, assist with rolling patients, CPR, Re-stock room and trauma supplies.
• Apply cast shoe, non-articulating boot, knee immobilizer, slings, c-collars, Miami j collar, trauma collar, wrist splints.
• Crutch fitting and teaching.
• Assist Orthopedic Residents in reductions of fractures during conscious sedations, splinting and casting.
• Stock Supplies and maintain equipment within the Emergency Department
• Stock supplies and linens for EMS.
• Maintain assigned zone’s par stock, linens and IV trays.
• Complete task cards.
• Sign off stat response stretcher to make sure it’s appropriate and functioning.
• Sit in 1 to 1 with patients that present psychiatric problems. (Visual assessment every 5 minutes). 

Position Requirements

• High School Diploma
• Specialized (1 year of training beyond High School)
• American Heart Association BLS required upon hire
• DE EMT required upon hire
• PEARS (obtained upon hire)
• Minimum of 6 months experience

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