Paramedic

DEFINITION
Under the direction of the assigned Captain/Supervisor, provides ambulance transport services as a member of the El Dorado Hills Fire Department (Department).

CHARACTERISTICS 
The non-firefighting position of Paramedic (EMT-P) works under the direct supervision of the assigned Captain in conjunction with other Department Staff and the overall direction of the Operations Branch. The primary responsibility of the EMT-P is to provide Advanced Life Support (ALS) care and transport of patients as a team member of the Department and in support of the El Dorado County Emergency Services Authority (JPA).
An EMT-P is required to be able to make critical decisions that impact the safety, well-being, or life of patients and members of the Department in stressful situations. The EMT-P is expected to execute sound judgment that demonstrates the highest of ethical and moral standards in the performance of job duties and other situations with and without explicit direction. The EMT-P is not authorized to make budget expenditures.DUTIES AND RESPONSIBILITIES
Note: The following duties are intended only as illustrations of the various types of work that may be performed. The omission of a specific statement on duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. Each individual in the classification does not necessarily perform all the duties listed. Employees may perform other related duties at an equivalent level as required. Management reserves the right to add, modify, change, or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the job. 
 
Duties may include, but are not limited to, the following:
 

1.  Operate JPA owned ambulances as directed, including driving to and from medical emergencies as part of the ambulance transportation team.
2.  Must pass Department EMS Academy and all related new hire didactic and skills training with no less than 80% final score, prior to release to active-duty status within the Department.
3.  A licensed Paramedic is authorized to do any of the following procedures utilizing both BLS and ALS level skills during training, while at the scene of an emergency, or during patient care but is not limited to:
   1. Evaluate the ill and injured and document findings and actions on a patient care report.
   2. Render both basic and advanced life support, rescue and first aid to patients.
   3. Obtain and document diagnostic signs including but not limited to temperature, blood pressure pulse and respirations rates, level of consciousness, pupil status and electrocardiogram interpretations.
   4. Perform cardiopulmonary resuscitation, including the use of mechanical adjuncts to advanced cardiopulmonary resuscitation and both manual defibrillators and automated external defibrillators (AED).
   5. Use the following adjunctive airway breathing aids:
      1. Oropharyngeal airway; nasopharyngeal airway.
      2. Advanced airways to include Supraglottic and endotracheal intubation.
      3. Waveform capnography.
      4. Suction devices.
      5. Basic and advanced oxygen delivery devices; and
      6. Manual and mechanical ventilating devices designed for pre-hospital use.
   6. Use various types of stretchers and body immobilization devices.
   7. Provide initial pre-hospital emergency trauma care.
   8. Perform basic field triage.
   9. Transport patients.
   10. Manage patients within their scope of practice.
   11. Administration of emergency medications per El Dorado County.
   12. EMS Protocols.
   13. Lifting patients into ambulances on a gurney.
4.   Contact and obtain direction from base hospitals regarding patient care.
5.   Cleans and decontaminates as necessary/directed Department equipment, apparatus, and facilities.
6.   Collection and documentation of patient billing information per Department policy.
7.   Maintains and restocks inventory of ambulance and station EMS supplies.
8.   Performs preventative maintenance inspections (PMI) on assigned apparatus.
9.   Follows all Federal, State, County, Local, and Department laws, regulations, protocols, and policies including the Health Insurance Portability and Accountability Act (HIPAA).
10. Attends and successfully completes Department and hospital training sessions and drills.
11. Participates in overseeing operational readiness and cleanliness of apparatus and equipment.  
12. Participate in all assigned training.
13. Participate in public education/training efforts.
14. Serve as a mentor/trainer of new employees.
15. Attend Department and County meetings as directed.
16. Performs other related work as required. 

EMPLOYMENT STANDARDS

Knowledge Of:  
Applicable federal, state, county, local and department regulations, practices, and procedures; principals of emergency ambulance and transportation procedures including first aid, resuscitator, and gurney operations, including safe emergency work practices; infectious disease control procedures; emergency radio communication procedures, medical terminology and documentation; emergency vehicle maintenance and operation, including all applicable federal and state driving licenses; correct English grammar, punctuation, and spelling; basic computer operations.
 
Ability To: 
Learn rules, regulations and operational procedures of the Fire Department; read electronic and incident maps and follow map directions; learn the street location and physical layout of the district and major traffic; work effectively in difficult and hazardous emergency situations and environments and carry out work assignments as instructed; think and act quickly in emergencies; work effectively as a member of a team; safely and properly operate a vehicle and transport patients during ambulance transportation; learn basic and advanced life support emergency medical care and CPR life-saving procedures; demonstrate a high degree of mechanical aptitude; learn the operating and mechanical principals of Department owned vehicles and equipment used by the Department; understand and follow oral and written directions promptly and accurately; communicate orally effectively with the public and fellow employees; learn through structures lectures in a classroom setting and through oral instruction in an on-the-job setting; comprehend and make inferences from written material; learn to operate and enter data into a computer terminal, personal computer or keyboard device; produce written documents using proper grammar and punctuation; deal courteously and effectively with the public; establish and maintain cooperative relationships with those contacted in the course of work.SUPPLEMENTAL INFORMATION
Any equivalent combination of training and experience which provides the required skills, knowledge, and abilities may be considered qualifying at the sole discretion of the District. A typical way to obtain the knowledge and skills would be:

Education and Experience: 

• High School diploma or equivalent GED certificate is required. 

 
Licenses; Certificates; Special Requirements:

• Must be at least eighteen (18) years of age. 
• Must possess and maintain a valid (unrestricted) California Driver’s License, Class C.
• Must possess and maintain valid State of California EMT-P Certification/Licensure.
• Current and ability to maintain American Heart Association CPR, ACLS, PALS/PEPP, and PHTLS Certification. 
• Upon hire, candidates must complete and maintain El Dorado County Paramedic Accreditation as a condition of employment. 

 
Desirable:

• Ambulance work experience. 
• California State Fire Marshal Accredited Firefighter I Academy.
• California State Fire Marshal Training Courses.

REQUIRED DOCUMENTS TO ATTACH/SUBMIT WITH APPLICATION:
All applicants must submit proof of the following valid licenses and certifications with their applications.  Missing required documents will be considered an incomplete application and candidate will not move forward in the recruitment process. 
 

• California Driver's License, Class C. 
• EMT-P Certification/Licensure.
• American Heart Association CPR, ACLS, and PALS/PEPP Certifications.
• Proof of El Dorado County Paramedic Accreditation, if applicable.
   

**Any subsequent interviews will be scheduled as position vacancies occur.**
If you have any questions, please contact Chief Dave Brady at (916) 500-3924 or dbrady@edhfire.com.

Salary : $64,068 - $77,868