CJW JOHNSTON-WILLIS MEDICAL CENTER DEPARTMENT: JOB DESCRIPTION/PERFORMANCE APPRAISAL SURGICAL SERVICES TITLE: 05023 EVALUATION DATE: Peri-operative Medic SUPERVISED BY: DEPARTMENT DIRECTOR: Anesthesia Providers, RN, Surgical Services Director and Assistant Director SUPERVISES: HUMAN RESOURCES N/A Non-Exempt I have reviewed these job requirements and verify that I can perform the essential functions of this position. I am aware that my position has specific competencies related to it and that these competencies must be completed within the prescribed time frame. Employee name: _________________________Signature:_______________________________ Date: __________ SPECIFIC ELEMENTS AND ESSENTIAL FUNCTIONS* 1. Contributes information to the assessment of the health status of Peri-operative patients. 2. Participates with nursing staff in the development and modification of a patient’s plan of care 3. Assists Anesthesia and nursing staff in implementation of plan of care and documents in patient’s chart, patient response to interventions 4. Stocks OR supplies and/or anesthesia supplies daily. 5. Maintains anesthesia supply inventory. 6. Responsible for maintenance and daily stocking of Airway Cart. 7. Performs “Point of Care Testing and maintenance/ daily QC (ACT; ABG; ROTEM. 8. Sets up for arterial lines, Belmont Rapid Infuser 9. Provides for patient safety while transporting patients within the hospital and surgical services department. 10. Safely assists in the positioning of surgical patients. 11. Provides daily cleaning of the OR. 12. Operates, maintains, and stores all equipment in a knowledgeable, safe and efficient manner. 13. Demonstrates flexibility in unit to perform other tasks that may be assigned. 14. Appropriately handles all trash, regulated medical waste, and soiled linens within the department. 15. Communicates effectively with staff, peers, physicians, director, nurse manager, external and internal customers. 1 TECHNICAL FUNCTIONS: 1. Maintain clear communication with Anesthesia provider and licensed nurse assigned to patient about all patient care issues. 2. Monitor patients for arrhythmias, document EKG strips, and report findings to licensed nurse assigned to patient. 3. Hang crystalloid IV fluids at prescribed rate, as ordered by Anesthesia provider (only as per current released approved medication list) 4. Clean stretchers, closets, and cabinets as appropriate. 5. Transport monitored and non-monitored patients to inpatient units and diagnostic areas. 6. Tag and report defective equipment as per department policy 7. Assist physicians with central line insertions, lumbar punctures, defibrillation, cardioversion, chest tube insertion, thoracentesis, arterial lines, and suturing. 8. M ay perform the following procedures Insert oral/nasal airways. Connect patient to oxygen and monitor. Provide humidified oxygen therapy Perform 12-lead EKG. Obtain urine and sputum samples. Initiate and discontinue peripheral intravenous catheters. Perform blood draws Perform CPR. Perform finger stick glucose monitoring. Perform oral suctioning. 9. Medics may perform the following procedures when fully released for unobserved work and competencies are maintained: Access of port, lines, and catheters requiring sterile procedu res (i.e. PICC, Central, Port) Perform endotracheal suctioning Placement and confirmation of Nasogastric and Orogastric tube. Position is required to have competence to assess, treat, and/or care for the age groups indicated by check marks. Legend: __x___Birth - 1 year = Neonatal/Infant ___x__1 - 11 years = Child/Pediatric ___x__12 - 17 years = Adolescent ___x__18 - 64 years = Adult ___x__65 years and older = Geriatric N/A = No responsibility to assess, treat, or care for patients. _____________________________________________________________________________________________________ 2 EXPERIENCE Required – Minimum of 1 year ER or comparable field experience. Preferred – Minimum 3 years active field experience as released VA Medic (documentation required). EDUCATION Required - High school graduate or GED equivalent. Successful completion of a Medic training course. Must have and maintain a Virginia Office of EMS Medic certification (or current equivalent). Must have and maintain AHA ACLS and PALS certification. Preferred – BTLS/PHTLS/ITLS current certification, ATLS, and/or AMLS. Instructor Certifications in relevant areas. Associates degree or higher (more preference for higher degrees) in relevant life science, Paramedicine, or Fire Science areas. PHYSICAL REQUIREMENTS/HAZARDS FREQUENCY NONE SOME FREQUENT VERY FREQUENT Lifting 50 pounds X Carrying 20 pounds X Pushing 50 pounds X Pulling 50 pounds X X Stooping/Kneeling Crawl X Climb X X Balance SOME = 1-4 times/day FREQUENT = 20-40 times/day Physical Requirements: (X) Manual Dexterity (eye/hand coordination) (X) Perform shift work (X) Maneuver weight of patients (X) Hear alarm/phone/recording device (X) Walk 6 hours/day (X) Reach above shoulders (X) Repetitive wrist/hand movements (X) Finger dexterity (X) On-call work (X) Color vision (X) Acuity - Far (X) Acuity - Near (X) Depth Perception (X) Communication -written/verbal (X) Gaseous risk exposure VERY FREQUENT = 100 times/day Hazards (X) Exposure to toxic/caustic chemical detergents ( ) Exposure to extreme conditions, hot/cold (X) Exposure to dust/fumes helicopter (X) Exposure to moving mechanical parts (X) Exposure to potential electrical shock (X) Exposure to x-ray/electromagnetic energy (X) Exposure to high pitched noises (X) Exposure to communicable diseases 3 Mental/Emotional Requirements (X) Manage stress appropriately (X) Handle multiple priorities (X) Make decisions under pressure (X) Works alone (X) Manage anger/fear/hostility/violence (X) Work in areas that are confined and/or crowded Work Positions: Sitting:_______ Standing: 70% Walking: 30% (X) Use of Latex gloves PHYSICAL DEMANDS: 1. Very heavy work: Surgery Department physical demands are classified as very heavy work -- exerting in excess of 100 pounds of force frequently and/or in excess of 20 pounds of force constantly to move objects. 2. Must be able to push patients in wheelchairs and stretchers to various areas of the Medical Center. 3. Must be able to lift oxygen tanks and IV pumps. WORKING CONDITIONS: (X) Inside - Workers spends approximately 75% or more of time inside. Inside work has good ventilation and comfortable temperatures. OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Category I - Employees whose duties include routine or reasonably anticipated tasks or procedures where there is an actual or potential exposure to blood or other potentially infectious material. 4