Emergency Department Paramedic (Per Diem)

Join the clinical team in the Emergency Department (ED) at Androscoggin Valley Hospital (AVH) as a Paramedic, delivering quality care to patients. You may also accompany EMS services on transfers to other facilities based on patient acuity, following New Hampshire state protocols and WMC standards of care.

Responsibilities

• Demonstrate clinical competence and excellence in practice as outlined in the skills competency tool.
• Accept responsibility and accountability for clinical practice in the ED and during transports under NH EMS Protocols.
• Identify and report Risk Management situations, completing Occurrence Reports with full details.
• Assess EMS and ED patients immediately upon arrival, including triage using the ESI model.
• Interpret rhythm strips, review test results (EKGs, Lab, X-ray), and report findings to the ED physician.
• Coordinate and implement the interdisciplinary plan of care in collaboration with the ED team.
• Administer medications according to state and hospital formulary/policy, monitoring for effects and documenting findings.
• Assist physicians and providers in treatments and procedures (e.g., suturing, splinting).
• Update treatment plans in collaboration with the ED team, patient, and family.
• Triage patients using the ESI model and initiate orders per protocol.
• Input physician orders into the Order Management system and carry out waived testing as needed.
• Document all pertinent information accurately on pre-hospital PCRs or medical records.
• Transport patients between departments, ensuring continuity of essential services (e.g., oxygen, IV therapy).
• Provide compassionate care, addressing patients' physical and emotional concerns.
• Accompany patients on paramedic-level transfers to other facilities, completing NH Transfer forms and obtaining physician orders.
• Follow infection control practices and hospital policies.
• Respond to Code Blue and Rapid Response Team calls, and perform IV starts in any department as requested.
• Adhere to Medication Safety policies, including barcode scanning for medications and patient ID bands.
• Perform additional duties as assigned.

Requirements

• Graduate of a Paramedic Program.
• NRP Certification (must be obtained within one year of employment).
• MOAB certification required within one year of employment.
• Current licensure as a Nationally Registered Emergency Medical Technician-Paramedic.
• Current licensure as an Emergency Medical Care Provider in New Hampshire.
• Current BLS, ACLS, PALS, and PHTLS certifications (required prior to employment).
• Critical care course completion required within two years of employment.
• Two years of experience as a Paramedic.
• Hospital experience preferred.
• Excellent interpersonal, conflict management, and time management skills.
• Basic computer systems knowledge.

Skills

• Advanced clinical proficiency.
• Effective communication and collaboration.
• Risk management and problem-solving.
• Technology and documentation.
• Compassionate patient care.

About North Country Healthcare (NCH)

North Country Healthcare (NCH) is a non-profit affiliation of four medical facilities: Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center. Located in the White Mountains Region of New Hampshire, NCH includes numerous physicians and providers across multiple locations, delivering integrated patient care through community hospitals, specialty clinics, and home health and hospice services.

Schedule

All new hires are required to attend a mandatory three-day orientation at Weeks Medical Center in Lancaster, NH. If Weeks Medical Center is not your designated home base, you will be eligible for travel reimbursement in accordance with the standard travel policy.