Carteret County PARAMEDIC

General Statement of Duties

Performs difficult, skilled technical work providing Paramedic level emergency medical care, maintains records and files, preparing reports.


Distinguishing Features of the Class

An employee in this class performs professional advanced life support work in operating an approved mobile medical unit, rescuing victims and performing advanced emergency care including the administration of life sustaining treatment to patients on-site and while in-route to hospital. Work involves responding to the scene of emergency and non-emergency calls, applying necessary medical treatment to sick or injured persons, and transporting persons to a medical facility. Employee serves as a member of an ambulance crew and is responsible for the medical care administered to the patient. This position is differentiated from an Emergency Medical Technician of other certification levels by the additional requirements of performing defibrillation and cardio version, using gas-powered or hand-powered nebulizers, decompressing a tension pneumothorax by use of a catheter-flutter-valve device, using positive-end expiratory pressure respirators, performing cricothyrotomy for relief of upper airway obstruction, performing gastric suction by intubations, and performing urinary catheterization. Work is performed under the general supervision of a shift supervisor and is evaluated through periodic conferences, results of work, reports and public feedback.


Duties and Responsibilities


Essential Duties and Tasks

·                 Provides emergency and non-emergency care to residents and visitors of the County; operates equipment and administers first aid; transports victims to emergency care facility; documents findings.

·                 Determines extent of illness or injury and establishes priorities for required care.

·                 Responds to emergency calls which might require advanced life support.

·                 Provides emergency medical care in accordance with established guidelines and written and verbal instructions from physicians.

·                 Provides various treatment techniques including airway management, intravenous therapy, drug administration, cardiac monitoring and defibrillating and electrocardiogram strip interpretation.

·                 Observes patient in route and administers additional care as needed.

·                 Transmits vital patient information and telemetry data to receiving medical care facility.

·                 Assists with the precepting of entry level EMT students.

·                 Inspects and performs basic preventive maintenance on assigned apparatus and equipment; maintains proper inventory of equipment and supplies; cleans and sanitizes apparatus daily; assists in cleaning station.

·                 Completes and files reports on calls.

·                 Participates in continuing education activities and maintaining certification hours.

·                 Provides training assistance to members of volunteer emergency medical service organizations in the County, as requested.


Additional Job Duties

·                 Performs related duties as required.


Recruitment and Selection Guidelines


Knowledge, Skills, and Abilities


·                 Thorough knowledge of the principles of anatomy and physiology.

·                 Thorough knowledge of the principles and techniques of emergency care, including diagnosis, proper treatment and transportation.

·                 Thorough knowledge of equipment and supplies employed in the emergency care of patients and victims of accidents.

·                 Thorough knowledge of the road system and geography of the County.

·                 Ability to diagnose a victim's condition and initiate appropriate emergency medical care.

·                 Ability to understand and follow oral and written instructions.

·                 Ability to make arithmetic computations using whole numbers, fractions and decimals.

·                 Ability to compute rates, ratios and percentages.

·                 Ability to keep records and prepare reports.

·                 Ability to establish and maintain effective working relationships with physicians, associates, patients and their families, other emergency service agencies and the general public.

·                 Ability to maintain vehicles, equipment and facilities.

·                 Ability to maintain confidentiality of patient information.


Physical Requirements

·                 Work requires the regular exertion of up to 10 pounds of force, frequent exertion of up to 50 pounds of force and occasional exertion of over 100 pounds of force.

·                 Work regularly requires speaking or hearing and using hands to finger, handle or feel, frequently requires reaching with hands and arms and occasionally requires standing, walking, sitting, climbing or balancing, stooping, kneeling, crouching or crawling, tasting or smelling, pushing or pulling and lifting.

·                 Work requires close vision, distance vision, ability to adjust focus, depth perception, color perception, night vision and peripheral vision.

·                 Vocal communication is required for expressing or exchanging ideas by means of the spoken word and conveying detailed or important instructions to others accurately, loudly or quickly.

·                 Hearing is required to perceive information at normal spoken word levels and to receive detailed information through oral communications and/or to make fine distinctions in sound.

·                 Work requires preparing and analyzing written or computer data, visual inspection involving small defects and/or small parts, using measuring devices, operating motor vehicles or equipment and observing general surroundings and activities.

·                 Work frequently requires exposure to outdoor weather conditions and exposure to blood-borne pathogens and may be required to wear specialized personal protective equipment and occasionally requires exposure to fumes or airborne particles, exposure to toxic or caustic chemicals and exposure to the risk of electrical shock.

·                 Work is generally in a moderately noisy location (e.g. business office, light traffic).


Desirable Education and Experience

Graduation from a two-year college with a degree in applied health and science or related field and moderate experience in advanced emergency medical service work; or an equivalent combination of education and experience.


Special Requirements

Possession of a valid North Carolina driver's license upon hire.

Possession of N. C. Paramedic Certification by the North Carolina Medical Examiners Board upon hire.

Possession of Pediatric Advance Life Support Certification upon hire.

Possession of Emergency Vehicle Operations Certification upon hire.

Possession of Advanced Medical Life Support Certification upon hire.

Possession of Advance Cardiac Lift Support upon hire.

Possession of International Trauma Life Support Certification upon hire.

Completion of FEMA 100,200,700 and 800 Training upon hire.

Complete Command Trailer Operation and Equipment and Driving Training within six months of employment.

Complete Ambulance Response and Equipment Supplied Training within six months of employment.

Complete Multiple Generator Operations Stations and Trailers Training within six months of employment.

Complete General Utility Response and Operations Training within six months of employment.

Complete Vessel Safety and General Water Operations Training within six months of employment.

Complete Viper Mobile and Portable Radio Operations Training within six months of employment.

Complete LifePak 15 EKG Monitoring Operations Training within six months of employment.

Complete Rapid Sequence Intubation Mandated Clearance Training within six months of employment.


Carteret County



Special Note: This generic class description gives an overview of the job class, its essential job functions, and recommended job requirements. However, for each individual position assigned to this class, there is available a completed job questionnaire with a physical abilities checklist which can give further details about that one specific position. Those documents should be reviewed before initiating a selection process. They can provide additional detailed information on which to base various personnel actions and can assist management in making legal and defensible personnel decisions.


Applicants should apply through our career website at


Closing Date (If Any): 
Tuesday, July 5, 2022
Statewide (No County)
Certification Level: