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Dispatch

POSITION TITLE: Dispatcher/Communicator
POSITION IDENTIFICATION
Reports to: Duty Captain
Employees Supervised/Directed: None
FLSA Code: Non-Exempt
POSITION PURPOSE AND SUMMARY:
Under the Duty Captain and Patriot Emergency Medical Services Inc. officers, the ideal Emergency
Medical Dispatcher (“incumbent”) will perform duties associated with providing telecommunications
services and directing emergency medical care to the sick and injured in accordance with all applicable
laws, regulations, and Patriot Emergency Medical Services Inc. policies.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The incumbent must possess and apply knowledge and skills necessary to perform the duties of
dispatcher, in a dignified and compassionate manner including:
● Directing emergency and non-emergency calls, calmly, efficiently and promptly;
● Assessing the nature and extent of injury or illness to establish and prioritize medical resources;
● Communicating with professional medical personnel and treatment facilities to obtain instructions
regarding further treatment and/or to arrange reception of patients to the appropriate center
The incumbent must perform all job responsibilities in a manner that protects patient privacy:
● The incumbent is expected to protect the privacy of all patient information in accordance with the
Company’s privacy policies, procedures, and practices, as required by federal [and state] law, and in
accordance with general principles of professionalism as a health care provider. Failure to comply with
the Company’s Policies and Procedures on patient privacy may result in disciplinary action up to and
including termination of employment or of membership or association with Patriot Emergency Medical
Services Inc..
● The incumbent may access protected health information and other patient information only to the
extent that is necessary to complete your job duties. The incumbent may only share such information
with those who have a need to know specific patient information you have in your possession to
complete their job responsibilities related to treatment, payment or other Company operations.
● The incumbent is encouraged and expected to report, without the threat of retaliation, any concerns
regarding the Company’s Policies and Procedures on patient privacy and any observed practices in
violation of that Policy to the designated Privacy Officer.
● The incumbent is expected to actively participate in Company privacy training and is required to
communicate privacy Policy information to coworkers, students, patients and others in accordance with
Company Policy.
● Coordinating requests for non-emergency transports in accordance with the non-emergency transport
policies;
● Monitoring communication equipment to maintain contact with the dispatcher;
● Performing rescue operations; and
● Maintaining apparatus and equipment
The incumbent must perform routine tasks in and around the ambulance service building, including:
● Cleaning, emptying trash and other related duties around the corporate office
● Representing the ambulance service while on duty at public service functions, expositions, and other
public events;
The incumbent must also:
● Be a team player, as EMS is a team effort, and providers must provide necessary assistance to ensure
system sanitation, readiness and adherence to quality assurance standards;
● Be flexible, as emergency services operate on a 24-hour clock; the incumbent’s assigned work shift
schedule may vary and the incumbent should be available to respond immediately for a call during the
assigned work period, and the start and shift times may vary due to the nature of the business;
● Maintain a thorough working knowledge of local geography, which includes maps, streets, and grid
book systems;
● Maintain a thorough working knowledge of applicable current standards of care, including equipment
functions and uses; and
● Assure that all certifications, licenses and registrations are up-to-date.
QUALIFICATIONS
Educational Requirements: The incumbent must have a minimum of either a high school diploma or a
GED as evidence of completion of a high school education and must have and maintain a valid driver’s
license as well as reliable transportation.
Upon Accepting a position as a dispatcher the employee agrees to obtain and maintain certification in
EMD, APCO, CPR, HAZMAT Awareness, HAZMAT Operations, ICS 100,200,300,400,700,800. Additional
required training: Documentation, HIPAA, ZOLL and Emergency Medical Technician.
Patriot Emergency Medical Services
Dispatch Protocol
Overview of FCC Rules and Regulations
It Is Unlawful To:
Transmit Superfluous Signals, Messages, or Communications of any kind on your radio transmitter.
To use profane, indecent, or obscene language.
To willfully damage or permit radio apparatus to be damaged.
To cause unlawful or malicious interference with any other radio communications.
To intercept and use or publish the contents of any radio message without the express permission of the
proper authorities in your department.
To transmit without first making sure that the intended transmission will not cause harmful
interference.
To make unnecessary or unidentified transmissions.
To make any adjustments, repairs, or alterations whatsoever to your radio transmitter. It is required by
law that only professional radio technicians, holding a second class license or higher, may make
adjustments or repairs.
To deny access to your radio equipment if a properly identified representative of the Federal
Communications Commission asks to inspect it. The equipment must be made available at any
reasonable hour.
To transmit a call signal, letter or numeral which has not been assigned to your station.
It is the responsibility of the dispatcher to transmit clear, brief, and concise messages.
Organization and staffing: The operation responsibilities for receiving all citizens and facilities requests
for ambulances and ambulettes and associated dispatching are assigned to Patriot EMS. Personnel will
be assigned shifts that are twelve hours and typically run on a 36/48 schedule. Dispatchers are
determined by workload. Dispatchers are directly accountable to the Duty Capta
Basic elements of dispatching:
Dispatching has three main elements:
The reception and processing of citizens/field units request for assistance.
The actual dispatching of field units.
The maintenance of all records and transactions.
A dispatcher will retain responsibility for an incident from the receipt through assignment completion,
enabling the dispatcher to efficiently and intelligently handle each call for service.
Responsibility for incoming requests/information rests with the dispatcher receiving the original
complaint or request and cannot be relinquished, except to a higher authority in performance of duty or
as necessitated during shift change. (In other words, when taking a call from the public or field unit,
follow up on the call/request to its completion).
Whenever any console position within Patriot EMS becomes overloaded with incoming calls or a
generalized heavy workload, any other position in the office less busy at the time shall immediately
assist the overloaded dispatcher.
Authority: Dispatchers assigned to the radio room as dispatchers, perform in accordance with the
policies of Patriot EMS, the FCC, and orders and guidelines contained in the dispatch protocol manual.
Dispatchers inform the field units of information that may or may not require their action. It is the
Deputy Chief or shift supervisor’s responsibility to make command decisions. Dispatchers do have the
authority as to the priority of the calls to be dispatched, and which units to send based upon location or
availability according to set guidelines and policies.
Overriding a dispatcher: Should any field unit have a good reason to doubt, or question the authority or
practicality of a given assignment, the field unit shall notify the Duty Captain or if after hours the on-call
supervisor. The supervisor shall have the authority to change the decision of reassignment of field units
as he/she feels necessary and which is in compliance with the guidelines and notify the dispatcher of
such changes. Under no circumstances will arguing with a dispatcher be permitted, and such action may
be construed as cause for disciplinary measures to the offending field unit and or dispatcher. Refusal to
respond will be considered a voluntary resignation.
General duties and responsibilities for dispatchers are hereby adopted by Patriot EMS.
a. Knowledge of Local Geography: Dispatchers must have a good working knowledge of the geography
of the Patriot EMS service area and a mental picture of the location of highways, businesses, buildings,
etc.
b. Knowledge of departmental policies and execute faithfully the service program within their respective
areas of responsibility.
c. Responsibility of conditions and operations of Patriot EMS; while on duty, dispatchers will be
responsible for the condition of the building and for its economical and efficient operation in accordance
with policies, orders, guidelines, rules, or conduct and practices.
d. Telephone Courtesy: When answering the telephone, dispatchers will answer as follows: “Thank You
for Calling Patriot EMS, May I please help you?” Dispatchers will be courteous and exert every effort to
satisfy the reasonable and valid needs of citizens requesting service, assistance, or information, and
courteously explain and instances where jurisdiction does not lie within the Patriot EMS area. All
incoming calls should be answered as soon as possible.
e. Duty to remain on Post Until Relieved: Except when in the course of their work it becomes necessary
to leave temporarily, dispatchers will remain at their respective positions while on duty. Under no
circumstances will the dispatch center be occupied by less than one individual. Failure to remain on post
will be considered a voluntary resignation.
f. Pre-Duty Briefing: When reporting on duty, each dispatcher will review the status of all units and
stations, pending or stacked calls, and pertinent information of incidents that have or could take place.
g. Complaints from the Public: Complaints concerning any field unit will not be addressed by Patriot EMS
personnel. When a caller wants to make a complaint or makes negative statements concerning a field
unit, the caller will be immediately referred to the closest available member of management.
h. Overtime that has been signed up for in advance must be worked. If a dispatcher signs up for
overtime and then feels they cannot work, it will be their responsibility to find another dispatcher to
work their shift. This would not apply in the case of an emergency. If there is not sufficient coverage, the
overtime will be mandatory. Failure to seek a replacement for the overtime shift will result in the loss of
a personal day or vacation day or disciplinary action up to and including termination.
Specific Duties and Responsibilities:
Receiving Calls: Dispatchers shall be responsible for receiving all incoming calls to Patriot EMS from
citizens, field units, office personnel, and other sources.
Dispatchers are charged with the responsibility of answering all calls received via the telephone lines, for
all radio traffic from field units on all radio frequencies and for the maintenance of proper records
concerning their operations in accordance with the guidelines.
Upon receipt of a valid request for service, the dispatcher receiving the call will complete the steps via
RightCad. Upon completion of the assignment the field unit should direct connect certain details back to
the dispatcher who should in turn complete the remaining portions of the RightCad screen. All pertinent
information concerning all calls for service should be recorded.
Sufficient Manpower: Dispatchers are responsible for assuring the safety of all units in the field by:
Obtaining important information by the caller such as descriptions of suspects, weapons involved, and
the means and direction of travel from the scene.
Ensuring that sufficient manpower is initially assigned to handle all obviously dangerous calls, especially
when it is known in advance that responding units involved will be dealing with a dangerous
person/situation. Following the assignment of units to handle calls of a serious nature, Dispatchers will
frequently check back with the units to ensure their condition is okay. If the scene is unsafe the
dispatcher will notify the proper law enforcement agency to respond. The dispatcher shall in all cases
dispatch a minimum of two field units in the event of possible dangerous or serious conditions and
notify the on duty supervisor.
Record: dispatchers shall directly be responsible for the proper completion of any communications
records and logs in accordance with proper guidelines and common practices of daily activity.
Broadcasting: Dispatchers will transmit information in strict accordance with the rules and regulations of
the FCC all departmental signals and phonetic alphabet. No slang or “cute” terminology will be
tolerated. Remember there are numerous people that are listening to radio traffic. Patriot EMS is judged
by many different elements, one of which is proper radio transmission.
Monitoring of Communications: Dispatchers shall monitor all radio traffic of his or her console to ensure
that adequate knowledge and understanding of field situations and to ensure field unit safety.
Relaying Information: Dispatchers will ensure that all pertinent information is relayed to field personnel
as comes to the attention of the dispatcher.
Requests of Information/Action: Dispatchers shall promptly fulfill all official requests from field units and
office personnel when asked.
Divulging Information: Dispatchers will not divulge any Patriot EMS or patient information without
authorization.
Identification of Station: Dispatchers will identify their station as frequently as is practicable.
Notification of Information: Dispatchers shall immediately notify their superiors, particularly Deputy
Chief personnel, of conditions within the area of an unusual nature so that the proper action may be
taken. The Chief Operations officer will be notified in the event of an accident involving field personnel.
Heritage and Responsibility:
There are few positions in the public safety career field which are subject to more continuous scrutiny of
standard operation procedure than that of dispatching, or where a higher standard of performance must
be the rule rather than the exception.
This performance arises from devotion of duty and the determination to fulfill assigned responsibility.
Because of the importance of this position, dispatchers must realize the importance of standard
operating guidelines and common practice. Accordingly, dispatchers will be held strictly accountable for
violations of regulations to promote efficiency.
The dispatcher will be only as effective as his or her own initiative and sense of responsibility may
dictate, and neither the information in the manual nor that in any other will compensate for
carelessness in performance of duty.
The key to a successful operation is cooperation among dispatchers. A new dispatcher will soon learn
that many problems can be quickly overcome when there exists a climate of complete cooperation,
sharing of information and assisting during periods of overloads.
Dispatchers must know the capabilities and limitations of the communications systems that he or she is
authorized to operate. He must be familiar with the administrative organization of Patriot EMS, so as to
be able to route radio traffic properly and be knowledgeable of the equipment and resources available
to Patriot EMS for the process of their duties.
One of the best methods to handle information is to WRITE IT DOWN. Placing information to memory
will result in forgetting and changing. REDUCE EVERYTHING TO WRITING.
It is the responsibility of Patriot EMS to assure that the system is operated in accordance with Federal
Communications Rules and Regulations.
TELEPHONE RULES:
Answer Promptly: All telephone lines will be answered as soon as possible, preferably before five rings.
Identify Yourself: Telephones shall be answered with “Thank you for calling Patriot EMS, this is
____________ how may I help you.” Speak directly into the mouthpiece.
Be Courteous: A calm, competent and decisive voice will be utilized at all times.
Take Charge of the Conversation: Determine who, what, when, where, and how, and be sure to WRITE IT
DOWN on the call taking slip.
Give Correct Information: Often citizens and facilities will seek information that you do not have. Do not
guess. If requested information is not immediately available, refer to persons that do know or obtain a
phone number and return a call. Never give a time of arrival on emergency calls. On pre-schelduled
transports give a pickup time that is accurate, and a time which gives our crews enough time to load the
patient and get to their destination.
Never Argue or Use Profanity: Under no circumstances will dispatchers use profanity or be rude over the
phone. If an individual calls the Patriot EMS dispatcher and makes obscene remarks directed to the
dispatcher or makes personal threats and does not have a valid complaint to report, then the dispatcher
may hang up the telephone, profanity or rudeness in return will not be tolerated.
Transferring Calls: Dispatchers will make every effort to satisfy a valid question or request before
transferring the call.
Pre-Scheduled Calls: Pre-Scheduled calls will be taken following the format of the call taking sheet and
the caller will be notified of a pickup time.
Dispatcher Personnel Meetings: Any dispatcher who desires to meet with the Chief may do so in the
following manner:
Dispatchers shall request in writing through a Captain to meet with a Deputy Chief.
Dispatchers may request in writing through a Captain to meet with any Chief.
Any Chief may accept a direct application for a meeting when in the best interest of Patriot EMS or in
extreme circumstances.
Large Scale Disaster Messages or Warnings: Calls or warning messages concerning large-scale
emergencies such as existing or imminent military attack, hurricanes, floods and tornadoes will take
precedence over all categories of messages except distress calls.
Semi-Emergency Messages: Relay of routine traffic or information.
Death Messages: Death messages will not be given over the telephone, but will be handled by a Deputy
Chief making personal contact.
Missing Juvenile Messages: These messages will be broadcast immediately to all Patriot EMS Trucks.
Cancel Messages: All messages previously broadcast or relayed to agencies must be canceled when
active report has been cleared.
TRANSMITTING RULES:
Authorized Transmissions: Messages shall be transmitted that give information pertaining only to the
official business of Patriot EMS.
Violation of Patriot MES Rules: Any unit using superfluous wording, improper language, non-uniform
terminology or making excess or unnecessary transmissions will be corrected politely by the dispatcher
advising them of correct traffic. Dispatchers observing repeated violations shall report the unit involved
to the appropriate supervisor.
Transmitting in General: Dispatchers will speak into the microphone or telephone in a normal voice.
Phrases and words that are difficult to copy will be avoided.
Interference/Clearance: Transmissions will not be made until air is clear.
Transmit Only Facts: Transmit only information you receive from the complainant. Give only the facts,
DO NOT ASSUME ANYTHING. Assumptions could get someone injured or killed.
Concise and Correct Messages: All messages transmitted will be brief, direct and according to standard
ten series, signals and codes approved by Patriot EMS. Use of field unit names shall be avoided.
Profanity, Slang, Sarcasm: Profanity, slang and humorous comments will not be tolerated. Words or
voice inflections which, when broadcast, reflect or indicate disgust or sarcasm shall not be utilized.
Profanity usage may result in termination or employment.
No Response from Field Units: If, after direct connecting or radioing a unit twice, no reply is received,
(for normal radio traffic) wait one minute and try again. If still no reply from the unit, contact the
appropriate shift supervisor.
Long Messages: Long messages shall be broken into phrases. At the end of two or three phrases of a
long message, dispatchers will pause by saying “break”, and then continue with the message.
Prompt Answering: Dispatchers shall monitor their radios in such a manner as to quickly answer a unit
that calls. In no event shall a dispatcher fail to respond to a unit in more than two calls. Such failure to
respond without due cause shall be considered neglect of duty. Field units take priority over telephone
calls except when an emergency is being reported.
Transmitting Alphabet: Phonetic alphabet will be utilized at all times to pronounce letters.
Time Limits for Units On Calls: Patriot EMS establishes maximum times:
1) 15 minutes on scene time.
2) 15 minutes on loading and unloading of patients.
3) 15 minutes on destination time.
4) 1 minutes on response time.
Beyond the time limit, the dispatcher will contact the unit and check his status. If no response after
three attempts, the supervisor shall be contacted. These times are rough estimates and the rule is that
calls come first.
Transmitting Vehicle Information: To ensure uniformity, when dispatching any vehicle information
dispatchers shall use the CYMBALS guide.
C-Vehicle Color
Y-Vehicle Year
M-Vehicle Make
B-Vehicle Body Style
A-And
L-License Information
S-Serial/VIN Number
Any other identifying information will be given after the CYMBALS code is use.
Transmitting Persons Information: To ensure uniformity, when dispatching any persons information, a
standard format will be used. Starting from head to foot and finish with the clothing descriptors.
a. Sex
b. Race
c. Age
d. Height
e. Weight
f. Clothing
a. Hat
b. Shirt/Tie
c. Coat
d. Trousers
Break frequently on long descriptions. Don’t talk too fast, the units are trying to write it down.
Radio Traffic/Telephone Messages at the Same Time: Dispatchers will ask the telephone caller to wait
until it can be determined if incoming radio traffic is urgent, or advise unit with traffic to stand by, you
are busy with an emergency call. Priority will always be given to radio traffic until determined to be Non-
Emergency.
Phonetic Alphabet: These are the names authorized by Patriot EMS to be used with the letters.
A-Adam J-John R-Robert
B-Boy K-King S-Sam
C-Charles L-Lincoln T-Tom
D-David M-Mary U-Union
E-Edward N-Nora V-Victor
F-Frank O-Ocean W-William
G-George P-Paul X-X Ray
H-Henry Q-Queen Y-Young
I-Ida Z-Zebra
Stacking Calls for Service: Dispatchers will not stack calls for service unless approved by an on-duty
supervisor or calls that have been pre-determined by priority codes in the Computer-Aided Dispatch.
Dispatchers will record on the notes in the call taking screen, the officer that granted authority to stack
the call.
Dispatchers will familiarize themselves with the policies for each of the service agencies.
PRIORITIES
When a dispatcher receives an ambulance call and has no unit available, the dispatcher shall contact the
on call supervisor or the Deputy Chief of Facility Relations
COMMUNICATION CENTER RESPONSIBILITY
Information coming to the attention of a dispatcher or any member of the Patriot EMS service area,
concerning emergency ambulance calls or other public assistance service requests shall be recorded in
Computer Aided Dispatch (CAD) for ambulance.
This procedure ensures that proper action was taken by responding personnel for every call for public
service. This procedure also establishes a staff control for proper administration and planning in an
orderly manner and at a control point.
Every call for service will have a unique complaint number assigned to it when entered into CAD. The
reporting year will begin on January 1 and end on December 31.
ENTERING CALLS FOR SERVICE
When To Initiate A Call For Ambulance Call: Each and every incident or call for service will be recorded
on the call taking screen by the dispatchers.
All members of the agencies receiving complaints, on-view or otherwise, and no matter what the source,
requiring action by the department, will contact the dispatcher as quickly as possible for the assignment
of an Incident Control Number.
Dispatcher Duties: Upon receipt of a complaint or other call for service, the dispatcher will record the
preliminary data in the call taking screen.
The incident, name, address, and telephone number of the complainant shall be requested so as to
provide sufficient information to the units responding to the scene of the complaint. Supervisory
scrutiny and inquiry will be made of all calls not properly prepared.
It is essential that as much information as possible is obtained from the complainant and relayed to the
units responding to the call. The dispatcher will recommend or page to appropriate unit(s) to respond to
the call as by policies established in the dispatch protocol. Dispatchers will then dispatch the call to the
unit(s) using the appropriate three part dispatching.
When advised to do so, the dispatchers will arrive the unit(s) at the scene of the call.
When a unit completes an assignment the dispatcher will clear the call and provide the crew with an inservice
time.
When a Law Enforcement Officer responds to a call where a report has already been made on the same
incident, a “Follow Up” screen will be made with a new IC number, and will be referred to the original IC
number.
Any request for notification of any units or services by the officers at the scene of an incident shall be
recorded in RightCad and the time notified.
Any information obtained by an officer and referred to a dispatcher for purpose of rebroadcast will be
handled promptly and the information will be recorded on the computer screen.
EMERGENCY AMBULANCE CALLS
The saving of a life depends upon fast and accurate communications between the caller and/or the
victim and the dispatcher taking the call.
On any request for ambulance service, if the patient is going to be seen in the emergency room,
dispatchers will notify the appropriate unit.
If the request is for a direct admission, the unit will be notified.

Receiving A Call For Service:

When taking an ambulance call the dispatcher will obtain the patient’s
complaint, location and name. The name, address and phone number of the caller shall be obtained
after the initial complaint is determined, if different from the patient. When calls for assistance are
requested by other units, as much information as possible, as to the condition of the patient, should be
obtained.

Available Units:

There will always be at least one unit on duty at a time. They work 12-hour shifts.
Dispatching of Calls: A call for service will be dispatched by selecting the appropriate unit. Dispatchers
will identify the MED STATION and unit and advise them to “Respond to:” giving the appropriate signal,
or nature of call, and the address of the call.
Dispatchers and paramedics will identify all ambulances as Unit# on each transmission.
Stacking Ambulance Calls: No ambulance calls for service shall be stacked unless approved by a
supervisor. When calls are received and no units are available to take the calls, dispatchers will
immediately notify the nearest available member of management. The dispatcher will advise the units
of the nature of the call and the location. The supervisor will advise dispatch what action to take
regarding the call. Depending on the situation, units may be able to clear to respond to the call or the
call will be referred to another service through Mutual Aid, and only when approved by a supervisor.

Emergency Transfers:

Patriot EMS will take emergency transfers from the emergency room or ICU to
area hospitals. When contacted by hospital personnel, dispatchers will ascertain if the patient is ready to
be transported and what needs the patient has.
Relaying Information: Any additional information received by the dispatcher, from whatever source, will
immediately be relayed to the responding unit.
Reporting to Work Well Rested

Purpose:

To maintain high levels of quality patient care by ensuring that personnel are not overworked
and are able to function effectively.

Policy:

Patriot Emergency Medical Services Inc. requires that all employees report to duty well rested,
and able to meet the needs of the public and patients that we serve. Falling asleep at ANY time while on
duty will result in immediate termination from employment.
No Call/No Show Job Abandonment Policy
Any employee who fails to show up for work without notifying his or her supervisor or on call supervisor
directly of the absence prior to one hour of the shift’s completion will be considered a “No Call/No
Show.” This will be considered a voluntary resignation by the employee. In addition, excessive tardiness
is a serious disruption to the company’s business operation and violates company attendance guidelines.
This conduct will result in disciplinary action, up to and including termination.

Organizational Values:

Reputation – Our reputation is unquestionable with excellent patient care being “second nature” to us.
Knowing this reputation precedes us, we constantly strive to improve the “standard”. We earn our
reputation every day.
Integrity – Trust is crucial to our continued success. We build trust by keeping our promises and fulfilling
our duties to the best of our abilities.
Loyalty – Patriot EMS team members exhibit loyalty to the company, other team members, the citizens
and facilities we serve, and most importantly, to one’s self.
Passion – We do not view our career as simply a job, but more a way of a life. We have a passion for
what we do that extends beyond the “borders” of the workplace, but rather into every aspect of our
day-to-day life. Our team members do not settle for simply meeting an acceptable standard: we
continuously strive for improvement.
Personal Development – Patriot team members set goals for themselves. We provide a nurturing
environment that supports their motivation. The result is a highly skilled and professional team.

Procedure:

I. Standards.
a. Because we provide emergency patient care, keen judgment, skill, and safe performance of job duties
are required at all times. To do this, all personnel must report to work well-rested at the start of his or
her scheduled shift.
b. To the extent that a second job prohibits personnel from being able to perform their duties for Patriot
Emergency Medical Services Inc., because insufficient rest affects the quality of care, the staff member
may be asked to go home, and be will not receive any pay for the remainder of the shift. Likewise, in
situations where personnel appear overtired or otherwise exhausted due to insufficient rest, for any
reason whatsoever, and where patient care may be affected, the personnel may be requested to return
home, and be denied pay for the shift.
c. In addition to other employment, personnel are asked to schedule other personal outside activities
appropriately, so as to be well rested and alert when reporting for duty.
d. Insufficient rest and other symptoms of exhaustion can affect the ability to perform job duties, and
jeopardize the well being of patients and co-workers. In the interest of maintaining a safe work
environment, and our commitment to the highest level of patient care, we expect everyone’s
cooperation with this Policy.
e. A staff member who routinely arrives to work not well rested, or who shows signs of exhaustion such
that patient care may be jeopardized may also face disciplinary action, up to and including termination.
DISCLAIMER
The information provided in this description has been designed to indicate the general nature and level
of work performed by incumbents within this position. It is not designed to be interpreted as a
comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of
employees assigned to this position. Management has the sole discretion to add or modify the duties of
the position and to designate other functions as essential at any time. This position description is not an
employment agreement or contract.

EMT

POSITION TITLE: Emergency Medical Technician Basic
POSITION IDENTIFICATION
Reports to: Captain
Employees Supervised/Directed: None
FLSA Code: Non-Exempt
POSITION PURPOSE AND SUMMARY:
Under the ambulance captain and Patriot Emergency Medical Services Inc. officers, the ideal Emergency
Medical Technician (“incumbent”) will perform duties associated with providing rescue services and
emergency medical care to the sick and injured in accordance with all applicable laws, regulations, and
Patriot Emergency Medical Services Inc. policies.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The incumbent must possess and apply knowledge and skills necessary to perform the duties of an
emergency medical technician and rescuer, in a dignified and compassionate manner, including:
• Responding to emergency and non-emergency calls calmly, efficiently and promptly;
• Administering basic and advanced life support to patients at the scene, en route to the hospital, and in
a pre-hospital setting, in accordance with federal, state, and local laws, regulations, and standards;
• Assessing the nature and extent of injury or illness to establish and prioritize medical procedures to be
followed;
• Rescuing and extricating victims of accidents, sudden illness or entrapment using proper rescue and
medical techniques;
• Treating patients at the scene, en route to the hospital, and in a pre-hospital setting, in accordance
with federal, state, local, laws, regulations, and standards;
• Communicating with professional medical personnel and treatment facilities to obtain instructions
regarding further treatment and/or to arrange reception of patients to the appropriate center;
• Maintaining order at scenes, including crowd disbursement and restraint of family and friends; and
• Completing patient care forms, insurance forms, evaluation forms, and all other forms in a competent
and timely fashion.
The incumbent must perform all job responsibilities in a manner that protects patient privacy:
· The incumbent is expected to protect the privacy of all patient information in accordance with the
Company’s privacy policies, procedures, and practices, as required by federal [and state] law, and in
accordance with general principles of professionalism as a health care provider. Failure to comply with
the Company’s Policies and Procedures on patient privacy may result in disciplinary action up to and
including termination of employment or of membership or association with Patriot Emergency Medical
Services Inc..
· The incumbent may access protected health information and other patient information only to the
extent that is necessary to complete your job duties. The incumbent may only share such information
with those who have a need to know specific patient information you have in your possession to
complete their job responsibilities related to treatment, payment or other Company operations.
· The incumbent is encouraged and expected to report, without the threat of retaliation, any concerns
regarding the Company’s Policies and Procedures on patient privacy and any observed practices in
violation of that Policy to the designated Privacy Officer.
· The incumbent is expected to actively participate in Company privacy training and is required to
communicate privacy Policy information to coworkers, students, patients and others in accordance with
Company Policy.
The incumbent must possess and apply knowledge and skills necessary to perform the duties of a driver
of ambulance equipment, including:
• Responding to instructions from a dispatcher and driving and operating specially equipped emergency
vehicles to specified locations at a safe and controlled speed, in accordance with federal, state, local law,
regulations and standards;
• Assuring that vehicles are in good working condition at all times, are properly maintained and stocked,
have all necessary equipment and this equipment is in good working order at all times;
• Cleaning, organizing and restocking vehicles in a ready condition after each transport;
• Receiving requests for emergency and non-emergency ambulance service and other duties-related
communication via two-way radio and other communication devices;
• Maintaining accurate records of ambulance equipment and other emergency equipment and/or
personnel dispatched to each emergency and non-emergency request and other operation and
administrative data as required to maintain the operational continuity of Patriot Emergency Medical
Services Inc. and as directed by superiors;
• Handling telephone communications professionally and efficiently with careful regard to the
divulgence of information;
• Coordinating requests for non-emergency transports in accordance with the non-emergency transport
policies;
• Monitoring communication equipment to maintain contact with the dispatcher;
• Performing rescue operations; and
• Maintaining apparatus and equipment.
The incumbent must perform routine tasks in and around the ambulance service building, including:
• Checking, restocking, inventorying and cleaning any apparatus operated by Patriot Emergency Medical
Services Inc.;
• Cleaning, doing dishes, emptying trash and other related duties in the fire station;
• Washing and drying towels, coveralls, and other laundry in the provided heavy duty washing
equipment;
• Representing the ambulance service while on duty at public service functions, expositions, and other
public events;
• Providing ambulance stand-by services at sporting events or any other activities designated by the
ambulance captain; and
• Performing any other duty related to Patriot Emergency Medical Services Inc. as designated by the
ambulance captain.
The incumbent must also:
• Be a team player, as EMS is a team effort, and providers must provide necessary assistance to ensure
system sanitation, readiness and adherence to quality assurance standards;
• Be flexible, as emergency services operate on a 24-hour clock; the incumbent’s assigned work shift
schedule may vary and the incumbent should be available to respond immediately for a call during the
assigned work period, and the start and shift times may vary due to the nature of the business;
• Maintain a thorough working knowledge of local geography, which includes maps, streets, and grid
book systems;
• Maintain a thorough working knowledge of applicable current standards of care, including equipment
functions and uses; and
• Assure that all certifications, licenses and registrations are up-to-date.
QUALIFICATIONS
Educational Requirements
The incumbent must have a minimum of either a high school diploma or a GED as evidence of
completion of a high school education, and must have and maintain current national and state
emergency medical technician and/or paramedic certification (license, if applicable).
Certificates, Licenses And Registrations
The incumbent must possess and maintain a valid driver’s license, current state and national EMT or
Paramedic certification (license, if applicable). American Heart Association BCLS certification and CEVO
certification in addition to other required training.
Minimum Experience, Abilities Required And Special Requirements
This position requires one year of experience in the field of rescue and emergency medical services.
Additionally, the incumbent must possess basic working knowledge of an IBM-compatible computer,
and be able to enter necessary data into a computer.
PHYSICAL REQUIREMENTS OF THE POSITION
The physical demands described here are representative of those that must be met by an employee to
successfully perform the essential functions of this position. The position requires significant physical
strength and dexterity and the ability to function in very adverse environments with exposure to
numerous safety risks typically found at emergency scenes. The following guidelines are used to
describe the frequency of activities in this position: (Occasionally equals 1-33%; Frequently equals 34%-
66%; and Continuously equals 67-100% of a typical work day.)

STANDING/WALKING:

Frequently to continuously when responding to calls. Optional while at rest at the
facility. This usually includes: going to and from the emergency vehicle, getting patients from their
locations, and rendering treatment. Most walking would be for short distances, as emergency vehicles
are allowed to get as close to the location as possible. However, the incumbent must also be able to run
these same distances, in case of an emergency where time is of the essence. Walking and running may
vary, however, as the patient may be located inside a large, multi-floored facility. Standing, walking and
running could be on all types of surfaces, including but not limited to: asphalt, cement, concrete,
soft/packed dirt, linoleum, wood, hardwood floors, etc. The individual must be able to go up and down
slight inclines or declines that may be found at roadsides, agricultural areas, etc. At a location, standing
would occur more often than walking or running. Standing would occur on the wide variety of surfaces
mentioned above. Standing could last from a few minutes to hours, depending on the situation.
Standing could occur in the standard erect position, the kneeling or squatting position, etc.

SITTING:

Frequently when responding to a location, the individual will sit in the emergency vehicle. The
emergency vehicles are equipped with a standard installed vehicle seat. The time performing the sitting
activity on a call would depend upon the specific situation.

LIFTING AND CARRYING:

Frequently required to lift and carry weights ranging from a few pounds to ten (10) pounds and above.
Occasionally required to lift and carry weights scaled at above 100 pounds or more. Incumbents will
need to lift and carry, with one team member, adult patients, lifting them from various positions (such
as a bed or a chair) onto various patient movement devices, such as an ambulance stretcher, a stair
chair, long back boards, etc., and then efficiently move them into an ambulance. Other heavier objects in
the high range category would be 5-foot tall, 10-inch diameter oxygen cylinders, and medical equipment
boxes. The oxygen cylinders can be made of quarter-inch steel and weigh up to 113 pounds. The medical
equipment boxes can weigh approximately fifty pounds or more.

BENDING AND STOOPING:

Frequently throughout a work shift the individual will be required to bend in
a range of 1 to 90 degrees. The average situation will require the individual to work in a range of 35 to
65 degree bends. This would involve: lifting a patient, lifting equipment, treating a patient at ground
level, sitting on a bench located in the ambulance. This activity may be prolonged and last up to 30
minutes or more. During any given call, the provider may bend and/or stoop 1 to 15 times per incident.

CROUCHING AND KNEELING:

Frequently. Crouching and kneeling may be performed when on the scene
picking up equipment or assisting patients. The actual number of times this is done depends on the
particular incident but may be up to 15 times for a duration up to 30 minutes or greater.

CLIMBING:

Occasionally. This is required when climbing steps up and down with a patient on a stretcher
or other device, and when entering or exiting the emergency vehicle. Generally, the climbing would
require that the incumbent be lifting and carrying heavy objects such as a stretcher or other device with
a patient on it. Balancing may be required when backing down staircases.

REACHING:

Frequently to continuously throughout the work shift in order to review monitoring
equipment, operate communication equipment, administer oxygen, and operate equipment. The
incumbent may also be required to reach in precarious positions, such as in a vehicle, which has been
crushed in an accident, or in other confined spaces. If working inside the ambulance en route to a
medical facility, the incumbent will need to reach to access the patient and supplies. Reaching will
involve partial to full extension of the arms.

PUSHING AND PULLING:

Frequently. The activities that would require the most force in pushing and
pulling is when removing or returning a gurney to the emergency vehicle, with and without a patient on
the gurney. The weight required to push/pull will vary, depending on the weight on the gurney. Slight
pushing will be required if the incumbent is performing CPR, which can require repetitive pushing and
may range from a few minutes to hours. Pushing and pulling is required when operating and closing
vehicle doors.

HANDLING OR GRASPING:

Continuously. While working at any given location, continual bilateral gross
manipulation is performed in this position. This may be involved when: opening/closing doors; and
using, handling, carrying and/or operating medical equipment boxes that may weigh approximately fifty
(50) pounds or more, stretcher rails, various handles attached to equipment, and tools. The arm and
hand must be able to perform all types of positions, including supination and pronation. Hyperextension,
extension and flexion of the fingers will be involved, ulnar and radial deviation, abduction and adduction
of the hand and wrist will be required. A wide variety of grasping will be required, such as cylindrical
grasping, palmer grasping, hook grasping, tip grasping, lateral grasping and spherical grasping.

HAZARDS:

The incumbent, when responding to emergencies, can be exposed to dust, fumes, gases, fire,
smoke, adverse weather conditions, and chemicals. Driving at speeds beyond the posted limit may occur
and, therefore, the incumbent may be exposed to vehicular accidents at a higher speed than normal.
There is also exposure to body substances that may contain infectious materials that could cause illness
or death. There is potential for bodily harm or death from violent patients, bystanders, or other dangers.
OTHER PHYSICAL REQUIREMENTS
• Maintain balance and strength in awkward positions;
• Speak clearly under stressful circumstances;
• Accurately communicate ideas orally and in writing in English;
• Respond physically with speed;
• Speak loudly; and
• Get along well with others.
MENTAL REQUIREMENTS OF THE POSITION
• Handle a significant number of stressful situations, and be able to function calmly; coolly and
collectedly under all types of stressful situations;
• Get along well with diverse personalities;
• Communicate with patients and others with empathy and respect;
• Create and maintain a positive and cooperative working environment in stressful situations;
• Work smoothly and professionally in an environment where teamwork is essential;
• Analyze and interpret difficult and complex patient care and personnel situations;
• Work independently with a minimal supervision for assigned tasks;
• Exercise sound independent judgment within general Policy and
procedural guidelines;
• Anticipate and identify problems and take initiative to prevent or correct them;
• Establish and maintain effective working relationships with all levels of
personnel within the medical community, Patriot Emergency Medical Services Inc., outside agencies,
patients, and members of the community;
• Understand and follow federal, state and local laws, and Patriot Emergency Medical Services Inc.
policies, procedures, and rules;
• Follow orders;
• Remember and apply concepts, knowledge and principles; and
• Appropriate deal with stress and maintain composure when encountering serious injuries or illnesses.
DISCLAIMER
The information provided in this description is designed to indicate the general nature and level of work
performed by incumbents within this position. It is not to be interpreted as a comprehensive inventory
of all duties, responsibilities, qualifications and working conditions required of employees assigned to
this position. Management has the sole discretion to add or modify the duties of the position and to
designate other functions at any time. This position description is not an employment agreement or
contract. 

Paramedic

POSITION TITLE: Emergency Medical Technician-Intermediate/Paramedic
POSITION IDENTIFICATION
Reports to: Captain
Employees Supervised/Directed: None
FLSA Code: Non-Exempt
POSITION PURPOSE AND SUMMARY
Under the Captain, the ideal incumbent will perform duties associated with providing emergency
medical care to the sick and injured in accordance with all applicable laws, regulations, and Company
policies.
ESSENTIAL DUTIES AND RESPONSIBILITIES
General Responsibilities
The incumbent must possess and apply knowledge and skills necessary to perform the duties of an
Emergency Medical Technician and Emergency Medical Technician Paramedic, in a dignified and
compassionate manner, including but not limited to:
• Responding to an emergency efficiently and promptly;
• Administering basic and advanced life support to patients at the scene, en route to the hospital, and in
a pre-hospital setting, in accordance with federal, state, and local laws, regulations, and standards, and
in accordance with Company policies and guidelines;
• Assessing the nature and extent of injury or illness to establish and prioritize medical procedures to be
followed;
· Treating patients at the scene, en route to the hospital, and in a pre- hospital setting, in accordance
with federal, state, and local laws, regulations, and standards, and in accordance with Company policies,
rules, and guidelines;
· Effectively communicating with professional medical personnel and treatment facilities to obtain
instructions regarding further treatment and/or to arrange reception of patients to the appropriate
center;
· Maintaining order at scenes, including crowd disbursement and restraint of family and friends;
· Completing patient care forms, insurance forms, evaluation forms, and all other forms in a competent
and timely fashion;
· Adhere to and follow all Policies and Procedures concerning safety and contamination by blood-borne
pathogens; and
· Educate and /or train squad personnel, EMS trainees and the public.
Job Responsibilities Related to Patient Privacy
1. The incumbent is expected to protect the privacy of all patient information in accordance with the
Company’s privacy policies, procedures, and practices, as required by federal [and state] law, and in
accordance with general principles of professionalism as a health care provider. Failure to comply with
the Company’s Policies and Procedures on patient privacy may result in disciplinary action up to and
including termination of employment or of membership or association with Patriot Emergency Medical
Services Inc..
2. The incumbent may access protected health information and other patient information only to the
extent that is necessary to complete your job duties. The incumbent may only share such information
with those who have a need to know specific patient information you have in your possession to
complete their job responsibilities related to treatment, payment or other Company operations.
3. The incumbent is encouraged and expected to report, without the threat of retaliation, any concerns
regarding the Company’s Policies and Procedures on patient privacy and any observed practices in
violation of that Policy to the designated Privacy Officer.
4. The incumbent is expected to actively participate in Company privacy training and is required to
communicate privacy Policy information to coworkers, students, patients and others in accordance with
Company Policy.
Additional Obligations and Skills
The incumbent must possess and apply knowledge and skills necessary to perform the duties of a driver
of ambulance equipment, including but not limited to:
• Promptly responding to instructions from a dispatcher and driving and operating specially equipped
emergency vehicles to specified locations at a safe and controlled speed, in accordance with federal,
state, and local laws, regulations and standards, and in accordance with Company policies, rules, and
guidelines;
• Assuring that vehicles are in good working condition at all times, are properly maintained and stocked,
have all necessary equipment and that the equipment is in good working order at all times;
• Cleaning, organizing and restocking vehicles in a ready condition after each transport;
• Receiving and responding to requests for emergency ambulance service and other duties-related
communication via two-way radio or other communication devices;
• Maintaining accurate records of ambulance equipment and other emergency equipment and/or
personnel dispatched to each emergency and non-emergency request and other operation and
administrative data as required to maintain the operational continuity of the Company and as directed
by superiors;
• Properly document each transport on the approved Patient Care Report in accordance with Company
Policies and Procedures;
• Handling telephone communications professionally and efficiently with careful regard to the
divulgence of information respecting confidentiality requests at all times;
• Coordinating requests for non-emergency transports in accordance with the Company’s non-emergency
transport policies;
• Monitoring communication equipment to maintain contact with the dispatcher; and
• Maintaining apparatus and equipment in accordance with all policies, procedures and direction.
The incumbent must perform routine tasks in and around the ambulance service building, including but
not limited to:
• Checking, restocking, inventorying and cleaning any apparatus operated by the Company;
• Cleaning, doing dishes, emptying trash and other related duties in the station;
• Washing and drying personal protective equipment in heavy duty washer and dryer;
• Representing the ambulance service while on duty at public service functions, expositions, and other
public events; and
• Performing any other duty related to the Company as designated by the Captain, Deputy Chief or
Chief.
The incumbent must also:
• Be a team player, as EMS is a team effort, and providers must provide necessary assistance to ensure
system sanitation, readiness and adherence to quality assurance standards;
• Be flexible, as emergency services operate on a 24-hour clock; the incumbent’s assigned work shift
schedule may vary and the incumbent should be available to respond immediately for a call during the
assigned work period, and the start and shift times may vary due to the nature of the business;
• Maintain a thorough working knowledge of local geography, which includes maps, streets, and grid
book systems;
• Maintain a thorough working knowledge of applicable current standards of care, including equipment
functions and uses;
• Assure that all certifications, licenses and registrations are up-to-date; and
• Conduct him/herself in a courteous, helpful, dignified and professional manner at all times when
dealing with patients, co-workers, Captains and or the public.
QUALIFICATIONS
Educational Requirements
The incumbent must have a minimum of either a high school diploma or a GED as evidence of
completion of a high school education, and must have and maintain current National Registry,
emergency medical technician and/or paramedic certification. An incumbent must also maintain the
required annual continuing medical education credits as set forth by the State EMS Office.
Certificates, Licenses And Registrations
The incumbent must possess and maintain a valid driver’s license, EMT or Paramedic certification, ACLS,
BTLS(PHTLS) and PALS(PEPPS) (paramedics and intermediates only), (Patriot EMS approved) American
Heart Association BCLS certification, CEVO certification. It is highly recommended that paramedics
maintain AMLS, incident command and other related training.
Minimum Experience, Abilities Required And Special Requirements
This position requires one year of experience in the field of rescue and emergency medical services.
Additionally, the incumbent must possess basic working knowledge of an IBM-compatible computer,
and be able to enter necessary data into a computer.
PHYSICAL REQUIREMENTS OF THE POSITION
The physical demands described here are representative of those that must be met by an employee to
successfully perform the essential functions of this position. The position requires significant physical
strength and dexterity and the ability to function in very adverse environments with exposure to
numerous safety risks typically found at emergency scenes. The following guidelines are used to
describe the frequency of activities in this position: Occasionally equals 1-33%; Frequently equals 34%-
66%; and Continuously equals 67-100% of a typical work day.

STANDING/WALKING:

Frequently to continuously when responding to calls. Optional while at rest at the
facility. This usually includes: going to and from the emergency vehicle, and getting patients from their
locations, and rendering treatment. Most walking would be for short distances, as emergency vehicles
are allowed to get as close to the location as possible. However, the incumbent must also be able to run
these same distances, in case of an emergency where time is of the essence. Walking and running may
vary, however, as the patient may be located inside a large, multi-floored facility. Standing, walking and
running could be on all types of surfaces, including but not limited to: asphalt, cement, concrete,
soft/packed dirt, linoleum, wood, hardwood floors, etc. The individual must be able to go up and down
slight inclines or declines that may be found at roadsides, agricultural areas, etc. At a location, standing
would occur more often than walking or running. Standing would occur on the wide variety of surfaces
mentioned above. Standing could last from a few minutes to hours, depending on the situation.
Standing could occur in the standard erect position, the kneeling or squatting position, etc.

SITTING:

Frequently when responding to a location, the individual will sit in the emergency vehicle. The
emergency vehicles are equipped with a standard installed vehicle seat. The time performing the sitting
activity on a call would depend upon the specific situation. The facility is equipped with a small lounge
area that is furnished.

LIFTING AND CARRYING:

Frequently required to lift and carry weights ranging from a few pounds to ten
pounds and above. Occasionally required to lift and carry weights in excess of 100 pounds or more.
Incumbents will need to lift and carry with one team member adult patients, lifting them from various
positions (such as a bed or a chair) onto various patient movement devices, such as an ambulance
stretcher, a stair chair, long back boards, etc., and then efficiently move them into an ambulance. Other
heavier objects in the high range category would be 5-foot tall, 10 inch diameter oxygen cylinders, and
medical equipment boxes. The oxygen cylinders can be made of quarter-inch steel and weigh up to 113
pounds. The medical equipment boxes can weigh approximately fifty pounds or more.

BENDING AND STOOPING:

Frequently. Frequently throughout a work shift the individual will be required
to bend in a range of 1 to 90 degrees. The average situation will require the individual to work in a range
of 35 to 65 degree bends. This would involve: lifting a patient, lifting equipment, treating a patient at
ground level, sitting on a bench located in the ambulance. This activity may be prolonged and last up to
30 minutes or more. During any given call, the provider may bend and/or stoop any number of times per
incident.

CROUCHING AND KNEELING:

Frequently. Crouching and kneeling may be performed when on the scene
picking up equipment or assisting patients. The actual number of times this is done depends on the
particular incident.

CLIMBING:

Occasionally. This is required when climbing steps up and down with a patient on a cot or
other device, and when entering or exiting the emergency vehicle. Generally, the climbing would
require that the incumbent be lifting and carrying heavy objects such as a cot or other device with a
patient on it. Balancing may be required when backing down staircases.

REACHING:

Frequently to continuously throughout the work shift in order to review monitoring
equipment, operate communication equipment, administer oxygen, and operate equipment. The
incumbent may also be required to reach in precarious positions, such as in a vehicle, which has been
crushed in an accident, or in other confined spaces. If working inside the ambulance en route to a
medical facility, the incumbent will need to reach to access the patient and supplies. Reaching will
involve partial to full extension of the arms.

PUSHING AND PULLING:

Frequently. The activities that would require the most force in pushing and
pulling is when removing or returning a gurney to the emergency vehicle, with and without a patient on
the gurney. The weight required to push/pull will vary, depending on the weight on the gurney. Slight
pushing will be required if the incumbent is performing CPR, which can require repetitive pushing and
may range from a few minutes to hours. Pushing and pulling is required when operating and closing
vehicle doors.

HANDLING OR GRASPING:

Continuously. While working at any given location, continual bilateral gross
manipulation is performed in this position. This may be involved when: opening/closing doors; and
using, handling, carrying and operating medical equipment boxes that may weigh approximately fifty
pounds or more, stretcher rails, various handles attached to equipment, and tools. The arm and hand
must be able to perform all types of positions, including supination and pronation. Hyperextension,
extension and flexion of the fingers will be involved, ulnar and radial deviation, abduction and adduction
of the hand and wrist will be required. A wide variety of grasping will be required, such as cylindrical
grasping, palmer grasping, hook grasping, tip grasping, lateral grasping and spherical grasping.

HAZARDS:

The incumbent, when responding to emergency situations, may be exposed to dust, fumes,
gases, fire, smoke, adverse weather conditions, and chemicals. There is also exposure to body
substances that may contain infectious materials that could cause illness or death. There is potential for
bodily harm or death from violent patients, bystanders, or other dangers. At all time the incumbent is
expected to adhere to all applicable Policies and Procedures concerning safety and the prevention of
contamination and infection due to blood-borne pathogens.
OTHER PHYSICAL REQUIREMENTS
• Maintain balance and strength in awkward positions;
• Speak clearly under stressful circumstances;
• Accurately communicate ideas orally and in writing in English;
• Respond physically with speed;
• Speak loudly; and
• Get along well with others.
MENTAL REQUIREMENTS OF THE POSITION
• Handle a significant number of stressful situations, and be able to function calmly, coolly and
collectedly under all types of stressful situations;
• Get along well with diverse personalities;
• Communicate with patients and others with empathy and respect;
• Create and maintain a positive and cooperative working environment in stressful situations;
• Work smoothly and professionally in an environment where teamwork is essential;
• Analyze and interpret difficult and complex patient care and personnel
situations;
• Work independently with minimum supervision for assigned tasks;
• Exercise sound independent judgment within general Policy and
procedural guidelines;
• Anticipate and identify problems and take initiative to prevent or correct them;
• Establish and maintain effective working relationships with all levels of
personnel within the medical community, the Company, outside agencies, patients, and members of the
community;
• Understand and follow federal, state and local laws, and Company policies, procedures, and rules;
• Establish and maintain effective working relationships with others;
• Follow orders;
• Remember and apply concepts, knowledge and principles;
• Analyze and interpret situations; and
• Appropriately deal with stress and maintain composure when encountering serious injuries or
illnesses.
DISCLAIMER
The information provided in this description has been designed to indicate the general nature and level
of work performed by incumbents within this position. It is not designed to be interpreted as a
comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of
employees assigned to this position. Management has the sole discretion to add or modify the duties of
the position and to designate other functions as essential at any time. This position description is not an
employment agreement or contract.

Ambulette Driver

POSITION TITLE: Patriot EMS Ambulette Driver
POSITION IDENTIFICATION
Reports to: Captain
Employees Supervised/Directed: None
FLSA Code: Non-Exempt
POSITION PURPOSE AND SUMMARY:
Under the captain and Patriot Emergency Medical Services Inc. officers, the ideal
ambulette driver (“incumbent”) will perform duties associated with providing non-emergency
transportation services in accordance with all applicable laws, regulations, and Patriot Emergency
Medical Services Inc. policies.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The incumbent must possess and apply knowledge and skills necessary to perform the
duties of ambulette driver, in a dignified and compassionate manner including:
 Completing ambulette calls, calmly, efficiently and promptly;
 Completing patient care forms, insurance forms, evaluation forms, and all other forms in a
competent and timely fashion.
The incumbent must perform all job responsibilities in a manner that protects patient
privacy:
 The incumbent is expected to protect the privacy of all patient information in accordance
with the Company’s privacy policies, procedures, and practices, as required by federal [and
state] law, and in accordance with general principles of professionalism as a health care
provider. Failure to comply with the Company’s Policies and Procedures on patient privacy
may result in disciplinary action up to and including termination of employment or of
membership or association with Patriot Emergency Medical Services Inc.
 The incumbent may access protected health information and other patient information only
to the extent that is necessary to complete your job duties. The incumbent may only share
such information with those who have a need to know specific patient information you have
in your possession to complete their job responsibilities related to treatment, payment or
other Company operations.
 The incumbent is encouraged and expected to report, without the threat of retaliation, any
concerns regarding the Company’s Policies and Procedures on patient privacy and any
observed practices in violation of that Policy to the designated Privacy Officer.
 The incumbent is expected to actively participate in Company privacy training and is
required to communicate privacy Policy information to coworkers, students, patients and
others in accordance with Company Policy.
 Coordinating requests for ambulette transports in accordance with the non-emergency
transport policies;
 Monitoring communication equipment to maintain contact with the dispatcher;
 Performing rescue operations; and
 Maintaining apparatus and equipment
The incumbent must perform routine tasks in and around the ambulance service building,
including:
 Checking, restocking, inventorying and cleaning any apparatus operated by Patriot
Emergency Medical Services, Inc.
 Cleaning, doing dishes, emptying trash and other related duties around the fire station
 Washing and drying towels, coveralls, and other laundry in the provided heavy duty
washing equipment
 Representing the ambulance service while on duty at public service functions, expositions,
and other public events;
 Performing any other duty related to Patriot Emergency Medical Services Inc. as
designated by the ambulance captain.
The incumbent must also:
 Be a team player, as EMS is a team effort, and providers must provide necessary assistance
to ensure system sanitation, readiness and adherence to quality assurance standards;
 Be flexible, as emergency services operate on a 24-hour clock; the incumbents assigned
work shift schedule may vary and the incumbent should be available to respond
immediately for a call during the assigned work period, and the start and shift times may
vary due to the nature of the business;
 Maintain a thorough working knowledge of local geography, which includes maps, streets,
and grid book systems;
 Maintain a thorough working knowledge of applicable current standards of care, including
equipment functions and uses; and
 Assure that all certifications, licenses and registrations are up-to-date.
QUALIFICATIONS
Incumbent must be at least 25 years old with a valid driver’s license and a good driving
record.
Educational Requirements
The incumbent must have a minimum of either a high school diploma or a GED as evidence of
completion of a high school education, and must have and maintain current CPR and First Aid
Certifications.
PHYSICAL REQUIREMENTS OF THE POSITION
The physical demands described here are representative of those that must be met by an
employee to successfully perform the essential functions of this position. The position requires
significant physical strength and dexterity and the ability to function in very adverse environments
with exposure to numerous safety risks typically found at emergency scenes. The following
guidelines are used to describe the frequency of activities in this position: Occasionally equals 1-
33%; Frequently equals 34%-66%; and Continuously equals 67-100% of a typical work day.

STANDING/WALKING:

Frequently to continuously when responding to calls. Optional while
at rest at the facility. This usually includes: going to and from the emergency vehicle, and getting
patients from their locations, and rendering treatment. Most walking would be for short distances,
as emergency vehicles are allowed to get as close to the location as possible. However, the
incumbent must also be able to run these same distances, in case of an emergency where time is of
the essence. Walking and running may vary, however, as the patient may be located inside a large,
multi-floored facility. Standing, walking and running could be on all types of surfaces, including
but not limited to: asphalt, cement, concrete, soft/packed dirt, linoleum, wood, hardwood floors,
etc. The individual must be able to go up and down slight inclines or declines that may be found at
roadsides, agricultural areas, etc. At a location, standing would occur more often than walking or
running. Standing would occur on the wide variety of surfaces mentioned above. Standing could
last from a few minutes to hours, depending on the situation. Standing could occur in the standard
erect position, the kneeling or squatting position, etc.

SITTING:

Frequently when responding to a location, the individual will sit in the emergency
vehicle. The emergency vehicles are equipped with a standard installed vehicle seat. The time
performing the sitting activity on a call would depend upon the specific situation. The facility is
equipped with a small lounge area that is furnished.

LIFTING AND CARRYING:

Frequently required to lift and carry weights ranging from a few
pounds to ten pounds and above. Occasionally required to lift and carry weights in excess of 100
pounds or more. Incumbents will need to lift and carry with one team member adult patients, lifting
them from various positions (such as a bed or a chair) onto various patient movement devices, such
as an ambulance stretcher, a stair chair, long back boards, etc., and then efficiently move them into
an ambulance. Other heavier objects in the high range category would be 5-foot tall, 10 inch
diameter oxygen cylinders, and medical equipment boxes. The oxygen cylinders can be made of
quarter-inch steel and weigh up to 113 pounds. The medical equipment boxes can weigh
approximately fifty pounds or more.

BENDING AND STOOPING:

Frequently. Frequently throughout a work shift the individual
will be required to bend in a range of 1 to 90 degrees. The average situation will require the
individual to work in a range of 35 to 65 degree bends. This would involve: lifting a patient, lifting
equipment, treating a patient at ground level, sitting on a bench located in the ambulance. This
activity may be prolonged and last up to 30 minutes or more. During any given call, the provider
may bend and/or stoop any number of times per incident.

CROUCHING AND KNEELING:

Frequently. Crouching and kneeling may be performed
when on the scene picking up equipment or assisting patients. The actual number of times this is
done depends on the particular incident.

CLIMBING:

Occasionally. This is required when climbing steps up and down with a patient
on a cot or other device, and when entering or exiting the emergency vehicle. Generally, the
climbing would require that the incumbent be lifting and carrying heavy objects such as a cot or
other device with a patient on it. Balancing may be required when backing down staircases.

REACHING:

Frequently to continuously throughout the work shift in order to review
monitoring equipment, operate communication equipment, administer oxygen, and operate
equipment. The incumbent may also be required to reach in precarious positions, such as in a
vehicle, which has been crushed in an accident, or in other confined spaces. If working inside the
ambulance en route to a medical facility, the incumbent will need to reach to access the patient and
supplies. Reaching will involve partial to full extension of the arms.

PUSHING AND PULLING:

Frequently. The activities that would require the most force in
pushing and pulling is when removing or returning a gurney to the emergency vehicle, with and
without a patient on the gurney. The weight required to push/pull will vary, depending on the
weight on the gurney. Slight pushing will be required if the incumbent is performing CPR, which
can require repetitive pushing and may range from a few minutes to hours. Pushing and pulling is
required when operating and closing vehicle doors.

HANDLING OR GRASPING:

Continuously. While working at any given location, continual
bilateral gross manipulation is performed in this position. This may be involved when:
opening/closing doors; and using, handling, carrying and operating medical equipment boxes that
may weigh approximately fifty pounds or more, stretcher rails, various handles attached to
equipment, and tools. The arm and hand must be able to perform all types of positions, including
supination and pronation. Hyperextension, extension and flexion of the fingers will be involved,
ulnar and radial deviation, abduction and adduction of the hand and wrist will be required. A wide
variety of grasping will be required, such as cylindrical grasping, palmer grasping, hook grasping,
tip grasping, lateral grasping and spherical grasping.

HAZARDS:

The incumbent, when responding to emergency situations, may be exposed to
dust, fumes, gases, fire, smoke, adverse weather conditions, and chemicals. There is also exposure
to body substances that may contain infectious materials that could cause illness or death. There is
potential for bodily harm or death from violent patients, bystanders, or other dangers. At all time
the incumbent is expected to adhere to all applicable Policies and Procedures concerning safety
and the prevention of contamination and infection due to blood-borne pathogens.
OTHER PHYSICAL REQUIREMENTS
• Maintain balance and strength in awkward positions;
• Speak clearly under stressful circumstances;
• Accurately communicate ideas orally and in writing in English;
• Respond physically with speed;
• Speak loudly; and
• Get along well with others.
MENTAL REQUIREMENTS OF THE POSITION
• Handle a significant number of stressful situations, and be able to function calmly,
coolly and collectedly under all types of stressful situations;
• Get along well with diverse personalities;
• Communicate with patients and others with empathy and respect;
• Create and maintain a positive and cooperative working environment
in stressful situations;
• Work smoothly and professionally in an environment where teamwork
is essential;
• Analyze and interpret difficult and complex patient care and personnel
situations;
• Work independently with minimum supervision for assigned tasks;
• Exercise sound independent judgment within general Policy and
procedural guidelines;
• Anticipate and identify problems and take initiative to prevent or
correct them;
• Establish and maintain effective working relationships with all levels of
personnel within the medical community, the Company, outside agencies,
patients, and members of the community;
• Understand and follow federal, state and local laws, and Company
policies, procedures, and rules;
• Establish and maintain effective working relationships with others;
• Follow orders;
• Remember and apply concepts, knowledge and principles;
• Analyze and interpret situations; and
• Appropriately deal with stress and maintain composure when encountering serious
injuries or illnesses.

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