Emergency Medicine and Trauma Services (EMTC) is a tertiary care, Level 1 trauma center located on the first floor of the Sheikh Zayed Campus on Michigan Ave NW.

The EMTC-Sheikh Zayed Campus is comprised of six distinct patient care areas:

1. 36 ED patient rooms

2. Two Code Rooms (4 beds)

3. 4 bed area designed for psychiatric patients

4. 18 decontamination showers with ability to utilize psychiatric area for Decontamination Zone.

5. 6-bed Rapid Treatment Unit (RTU)

The Satellite Pediatric Emergency Department is located at the United Medical Center on Southern Ave SE and operates 24 hours per day and 7 days per week. The ED at UMC has 16 beds, including a Crisis Room and a room designed for psychiatric care.

Patient and Family services are provided under a collaborative, shared leadership model. Organizationally the EMTC reports to the Chief Nursing Officer, Vice President of Nursing and operates within a multidisciplinary leadership team.

1. The Chiefs of the Division of Emergency Medicine provide overall medical leadership at both locations. A Medical Director for each campus oversees day to day operations and physician activities. Associate and Assistant Directors report to the Division Chiefs. The Director of Trauma & Burn Services collaborates with the Division Chiefs to assure appropriate care of trauma patients.

2. The Director for Nursing leads the nursing component of the leadership team and works collaboratively with the Division Chiefs and Medical Directors for oversight of EMTC operations and the shared leadership process at both sites. The UMC campus has a Nurse Manager; the SZ campus has a Nurse Manager who are responsible for day to day operations and work collaboratively with the Medical Directors to lead operations and performance improvement initiatives. Other members of the leadership team include Clinical Instructors, Clinical Educators, Shift Coordinators, Lead ED Technician, Clinical Program Coordinator for EMS and Base Station Coordinator, Psychiatry Clinical Program Coordinator, Program Coordinator, Finance and Quality Outcomes Coordinator.

Medical services are provided in this teaching environment under the supervision of board- certified emergency physicians and Registered Nurses consistent with the Standards of Emergency Nursing Practice. The team works collaboratively with other departments that impact EMTC operations. ED patients are registered by Registration/Patient Access/Admission staff who report to the Director of Business Operations.

The EMTC provides medical screening and emergency care to over 120,000 patients and families annually with a wide range of problems. Presenting conditions are triaged and assigned to the appropriate treatment area utilizing the Emergency Severity Index (ESI) tool, which takes into account patient acuity and resources needed for management. Presenting conditions range from mild to life-threatening. Mild to moderate conditions include common pediatric conditions such as: common colds, rashes, strep throat, upper respiratory conditions, lacerations, otitis media, strains and sprains, etc. More complex to life threatening conditions include child abuse/neglect, sexual assault, behavioral emergencies, meningitis, sepsis, burns, acute medical, surgical and trauma conditions, anaphylaxis, respiratory and cardiac arrest. The EMTC can provide emergency stabilization and treatment of adults and arrange for transfer to the appropriate treatment site after medical screening and initial interventions. Medical screening exams and stabilization of any actual or potential life threatening conditions is provided regardless of age, race, sex, gender, color, ethnicity, national origin or ability to pay for services. The EMTC is able to increase resources as needed to meet large influxes of patients (medical alert, trauma state or phased response).

In collaboration with and under the supervision of a Registered Nurse the Unit Support Associate will assist in activities directly related to the care of patients and operation of the unit. This will include but is not limited to providing direct 1:1 observation of patients related to safety or behavioral issues. Support the unit function by assisting in the maintenance of supplies, operations

Minimum Education
High School Diploma or GED (Required)

Specific Requirements and Preferences
Previous pediatric or child care experience (Strongly Preferred)

Trained and certified in a Crisis Intervention Program (CPI, TACT II, Mandt) (Preferred)

Required Skills/Knowledge
Basic computer skills preferred
Knowledge of child development strongly preferred

Required Licenses and Certifications
Basic Life Support for Healthcare Provider (BLS) (Required)

Functional Accountabilities
Maintain Patient Safety

• Maintain environmental safety through room sweep and checklist

• Adhere to principles of pediatric safety through use of handrails, seat belts and direct observation.

• Never leave patient unattended

• Intervene quickly to calm, redirect, reorient patient, or guide patient to prevent harm to self or others.

• Remain in patient room unless relieved by nurse or another Unit support associate

• Accompany patient for any procedures off the unit

Meet/Satisfy Patient Needs

• Engage patient in distracting, age appropriate goal oriented behavior, provide activities and conversations that are distracting and therapeutic (discuss with bedside RN)

• Reinforces positive behavior

• Assist with linen changes and room stocking

• Assist in activities of daily living, including but not limited to washing, toileting, position changes and assistance with meals

• Maintain universal precautions

• Assist with providing breaks as directed by Charge Nurse

Maintain a Clean and Safe Environment

• Keep room clean and tidy

• Maintain a calm environment

• When not responsible for direct patient observation stock unit, nurse servers, carts etc as directed by charge nurse.

• Monitor common unit areas for cleanliness, stock par levels and supplies

• Reports safety hazards to staff i.e. broken furniture/broken equipment

• Assist in a variety of unit support activities as directed by Charge Nurse i.e. room set up, answer call bells, customer service activities.

Effective Communication with Other Staff

• Reports pertinent patient information and call for assistance if the patient develops destructive behaviors i.e. pulling lines.

• With RN establishes priorities for individual patient communicates with team members in establishing priority tasks.

• Maintains regular communication with RN related to assigned duties and patient behavior; preforms activities within prescribed scope, seeks clarification when needed

• Immediately report escalating behaviors to RN

• Confers with RN when confronted with unfamiliar patient care issue.

• Ensure information sharing when handing off to new Safety attendant

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently

• Search for less costly ways of doing things

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance