Emergency Medical Technician-Intermediate / Paramedic
POSITION IDENTIFICATION
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.
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 dispersement 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 bloodborne
pathogens
Educate and /or train squad personnel, EMS trainees and the public.
Job Responsibilities Related to 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.
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
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
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
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 bloodborne 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
• 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.