EMS Lieutenant

The Harnett County Emergency Medical Services Division is recruiting for the EMS Lieutenant position. The employee will be performing in a lead worker role and acts in the absence of the EMS District Chief while performing paramedic level life support, stabilization procedures, and emergency medical care, and continued ALS care in inter-facility transports for the Emergency Medical Services unit of the County.





  • Serves as a Paramedic on a shift and responds to calls for emergency medical assistance; provides care and transports patients as necessary.  
  • Serves as field training officer to precept new employees and students in the field; documents training and procedures performed by the trainee; provides guidance and oversight on conducting medical procedures; mentors other employees; completes performance evaluations on subordinates and initiates disciplinary actions when appropriate; recommends additional or remedial training as needed, and provides input into decisions on when new employees are ready to work independently.
  • Reviews employee reports; trains employees in completing reports and documentation; assists with quality assurance reviews on reports.
  • Performs remedial training to help employees with specific skills.
  • Meets with the departmental Emergency Medical Services Assistant Chief of Training and assists in determining departmental training needs based on review of cases or specific procedures; assists with updating protocols.
  • Delivers supplies to outlying stations; assures that units are adequately equipped and in proper working order and medical supplies are available. 
  • Assumes the role of Emergency Medical Services District Chief in their absence, assists in scheduling coverage for the shift; ensures that all units and stations are properly stocked with supplies and equipment. 
  • Develops schedules for full-time and part-time staff, finds replacement, and insures proper training of assigned staff to maintain Certifications and to comply with the Medical Director’s directives.
  • Provides information and support to other agencies including other emergency medical providers in the County, emergency management, law enforcement and fire personnel.  
  • Interviews applicants, and makes recommendation on routine personnel matters affecting subordinates; completes performance evaluations on subordinates.
  • Schedules transport during times when Transportation Coordinator is not on duty and assigns to staff.
  • Assures the maintenance and completion of records, reports, and other information required for the shift.
  • Monitors all call activity on an assigned shift and makes critical decisions with regards to what units are to be placed in service and prioritizing services in high call volume situations. 
  • Responds to emergency calls in an ambulance or quick response vehicle and performs necessary medical care and rescue work in accordance with established protocols for advanced life support; administers necessary emergency medical care requiring the use of a variety of specialized equipment. .
  • Performs emergency medical acts in accordance with protocols established by the department and the County’s Medical Director; administers cardiac and narcotic medications via intravenous line, administers specified solutions by intravenous infusion, performs pulmonary ventilations and obtains EKG’s for cardiac diagnostics..
  • Performs patient assessment  and life support techniques in accordance with the approved protocols including airway management and cardiopulmonary resuscitation;   oxygen administration; hemorrhage control; treatment for shock; bandaging and dressing injuries and splinting of fractures and dislocations; treatment of injuries to various parts of the body; provision of basic life support for medical injuries, assisting in normal and abnormal childbirth, treatment of injuries and burns; lifting and moving patients for transfer to a medical facility, extrication of patients from confined areas, and other procedures within county protocols.
  • Transports patients to local and regional medical facilities, maintaining contact with medical staff while in transport and assuring care of patient; oversees treatment and care  for long-term care patients on transport to other facilities, hospitals or doctor’s offices. 
  • Completes full patient care documentation through various paper and electronic based formats during and after calls for service including information for billing documentation, and legal accountability.
  • Participates in a continuous training program to maintain certification and improve competence in medical technical work and operation; studies street and road patterns and networks of the County in order that future runs may be made with minimum difficulty and delay.
  • Inspects and tests response vehicles and their emergency equipment, maintaining proper inventory of equipment and supplies; cleans and sanitizes equipment daily; ensures that they are in proper and good working order; makes routine adjustments, but reports other than minor defects for specialized attention.
  • Maintains cleanliness and performs minor maintenance of Emergency Medical Service facilities; cleans, sweeps, mops, etc.; exercises on duty to maintain health and fitness.
  • Provides assistance to members of volunteer emergency medical service organizations, as requested.
  • Assists with the direction and control during disaster situations.
  • Performs other related work as required.




Education and Experience:
Graduation from high school and some experience in emergency medical service work as a Paramedic; or any equivalent combination of training and experience which provides the required knowledge, skills and abilities.

License and Certifications:
North Carolina Office of Emergency Medical Services Paramedic Certification. Possession of a valid NC driver's license.

Preferred Qualifications:
Instructor: BLS, PALS, ACLS, ITLS and/or PHTLS.
EVD, NIMS and HazMat certificate is preferred.

Knowledge, Skills, and Abilities

  • Considerable knowledge of and skill in administering emergency medical procedures and techniques, of anatomy and physiology, and of intravenous therapy and skill in recognizing adverse conditions.
  • Considerable knowledge of equipment and supplies employed in emergency care of patients and accident victims.
  • Considerable knowledge of county geography and locations of roads and streets.
  • Skill in recognizing trauma and signs and symptoms of medical emergencies to determine appropriate treatment.
  • Ability to perform duties in accordance with established emergency medical procedures and techniques, medical protocols and standing orders.
  • Ability to work with a diverse socioeconomic population based on the unique situations encountered.
  • Ability to respond quickly and calmly in emergencies and stressful situations.
  • Ability to safely drive an emergency medical vehicle in adverse conditions and according to motor vehicle laws.
  • Ability to communicate effectively in a tactful and firm manner with the public.
  • Ability to deal with stress and death and dying patients.
  • Ability to accurately record services provided on required forms.
  • Ability to work with co-workers, law enforcement personnel, fire, medical personnel, patients and the general public.
  • Ability to maintain vehicles, equipment, and facilities.
  • Ability to maintain confidentiality of patient contact.
  • Ability to supervise an EMS shift including knowledge of personnel requirements.



Physical Requirements:
Must be able to perform the physical life functions of climbing, balancing, stooping, kneeling, crouching, crawling, reaching, standing, walking, pushing, pulling, lifting, fingering, grasping, feeling, talking, hearing, and repetitive motion. Must be able to perform very heavy work exerting in excess of 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or 20 pounds of force constantly to move objects.  Must be able to lift 150 pounds with assistance. Must be physically able to read extensively; to operate a variety of machinery and specialized medical equipment; to inspect patients and monitor equipment; to administer medications; to operate a computer; and to inspect and assemble parts and use measurement devices.

To apply visit: https://www.governmentjobs.com/jobs/3360182-0/ems-lieutenant?keyword=&location=lillington%2C+nc&pagetype=searchPage

Closing Date (If Any): 
Wednesday, January 19, 2022
Certification Level: