Paramedical Services Essential Functions

Motor Skills

  • Move within confined space
  • Sit/stand and maintain balance for prolonged periods
  • Reach above shoulders and below waist
  • Sustain repetitive movement
  • Perform client care for an entire length of clinical experience, 8-12 hours
  • Sufficient motor function to elicit information from patients by palpation, percussion, and other assessment maneuvers

Fine Motor Skills

  • Pick up objects with hands
  • Grasp small objects with hands
  • Write with pen or pencil
  • Keyboard/type (use a computer)
  • Pinch/pick or otherwise work with fingers (syringe; withdraw blood)
  • Twist (turn knobs with hands)
  • Squeeze with finger (eye dropper)

Critical Thinking Skills

  • Identify cause and effect relationships
  • Plan/control activities for others
  • Synthesize knowledge and skills
  • Sequence information

Sensory

  • The ability to demonstrate visual and auditory acuity within normal range (with correction if needed) in order to observe patient accurately at a distance and close at hand.
  • Auditory interpretation of normal speaking level sound
  • Accurately interpret faint voices
  • Auscultate faint body sounds (BP), bowel sounds, lung sounds, heart sounds
  • Use depth perception and peripheral vision
  • Accurately interpret small print on medication containers, syringes, discriminate color change, read type at 8 font, and document on college-ruled paper
  • Accurately read monitors and equipment calibrations
  • Detect odors from patient
  • Detect smoke, gases, or noxious smells
  • Feel vibrations (pulses)
  • Detect temperature
  • Feel differences in surface characteristics
  • Feel differences in sizes, shapes (palpate vein)
  • Detect environmental temperature

Physical Strength and Mobility

  • Push or pull patients to ensure proper positioning
  • Support patient during ambulation
  • Lift patients to transfer
  • Move heavy objects
  • Defend self against combative client
  • Carry equipment/supplies
  • Use upper body strength (CPR, restrain a client)
  • Squeeze with hands (fire extinguisher)
  • Twist and bend
  • Stoop, squat
  • Move quickly
  • Climb (ladder stairs)
  • Physical endurance to complete an 8-12 hour shift

Emotional Stability

  • Establish therapeutic boundaries
  • Provide client with emotional support
  • Adapt to rapidly changing environmental support
  • Deal with unexpected (crisis)
  • Focus attention on task
  • Perform multiple responsibilities concurrently
  • Handle strong emotions (grief)
  • Maintain behavioral decorum in stressful situations
  • Maintain adequate concentration and attention in hospital and prehospital settings
  • Maintain composure when subjected to high stress

Interpersonal Skills

  • Negotiate interpersonal conflict
  • Respect differences in patients
  • Provide patient with emotional support
  • Establish rapport with patients and co-workers
  • Collaborate with multiple agencies to deliver patient care
  • Delegate patient care tasks to coworkers
  • Teach and provide information in an accurate and effective manner
  • Report patient information to other caregivers
  • The ability to use the English language to communicate effectively in a rational, coherent manner, both orally and in writing, with individuals of all professions and social levels.

Arithmetic Competence

  • Read & understand columns of writing
  • Read digital displays and graphics printouts (I&O)
  • Calibrate equipment
  • Convert numbers to/from metric
  • Read graphs (EKGs)
  • Measure time (duration)
  • Count rates (pulse rate)
  • Calculate medication dosages & IV solution rates
  • Use measuring tools (thermometer)
  • Read measurement marks (calipers)
  • Add, subtract, multiply, divide
  • Use a calculator
  • Write number in records

Analytical Thinking Skills

  • Transfer knowledge from one situation to another
  • Evaluate outcomes
  • Problem solve and prioritize
  • Use short- and long-term memory
  • Accurately assess B/P, heart, lung, vascular, and abdominal sounds
  • Identify cyanosis, absence of respiration, and movements of client rapidly and accurately
  • Accurately process information on medication container, physician’s orders, equipment calibrations, printed documents, flow and graphic sheets, medication administration records, and other medical records

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