Iredell County Paramedic Position

Location:  Emergency Medical Services                                                         

Job Title:  Paramedic

 

Revision Date:  9/2004, 5/2008, 12/2013, 9/2014, 8/2015, 12/2016, 9/2017, 5/2018, 2/2019,

                         5/2020, 2/2021

 

 

GENERAL STATEMENT OF DUTIES

 

Under general supervision, performs skilled 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 Advanced EMT by the additional re­quirements of performing manual defibrillation and cardioversion; decompressing a tension pneumothorax by use of a catheter-flutter-valve device; using positive end expiratory pressure respirators; performing surgical airway maneuvers for relief of upper airway obstruction; performing gastric suction by intubation; performing urinary catheterization; the use of paralytic and sedative agents to paralyze and stabilize critically ill or injured patients; and administer other assorted medications by protocol or physician’s order.  Employee must exercise tact, courtesy and firmness in dealing with sick or injured persons and with the general public. Employee is responsible for performing in accordance with established emergency medical procedures and techniques, but must exercise considerable inde­pendent judgment in assessing the condition of patients and applying short‑term relief. Employee is exposed to the normal hazards of emergency rescue work, including risk of exposure to infectious diseases. Reports to the EMS Shift Supervisor.

 

DISTINGUISHING FEATURES OF THE CLASS

 

An employee in this class performs emergency medical procedures at the Certified Paramedic level, performing  professional advanced life support work in operating an approved mobile medical unit, rescuing victims and performing advanced emergency medical care including the administration of life sustaining treatment to patients on-site and while en route to hospital or medical facility. 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 medical facilities. Employees serve as a member of an ambulance crew and are responsible for the medical care administered to the patient.  Paramedic level positions are differentiated from an EMT Intermediate by the additional and more complex procedures and requirements such as use of paralytic and sedative agents; performing surgical airway procedures; performing manual defibrillation; and performing other specialized procedures.  Work requires considerable independent judgment in assessing the condition of patients and applying short-term relief. Employees are exposed to the normal hazards of emergency rescue work, including risk of exposure to human body fluids and infectious diseases, thus the work is subject to the OSHA requirements for blood borne pathogens.  Work is performed in accordance with established EMS procedures and under State and Local Medical Director approved protocols. Work is performed under the supervision of an EMT-Paramedic/Shift Supervisor and is evaluated through peer review, conferences, observation, discussion of procedures at emergency scenes, and public feedback.

 

DUTIES AND RESPONSIBILITIES

 

ESSENTIAL DUTIES AND TASKS

 

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.

 

Serves as medic in charge on calls; as required, directs care and response and provides patient care; as needed, directs work of assigned EMT’s and Advanced EMT’s; provides training and mentoring of newer employees.

 

Performs emergency medical acts in accordance with protocols established by the department and the County’s Medical Director; performs specialized procedures such as  performing manual defibrillation and cardioversion; decompressing a tension pneumothorax by use of a catheter-flutter-valve device; using positive end expiratory pressure respirators; performing surgical airway maneuvers for relief of upper airway obstruction; performing gastric suction by intubation; performing urinary catheterization; the use of paralytic and sedative agents to paralyze and stabilize critically ill or injured patients; and administering other assorted medications by protocol or physician’s order.

 

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 transfers to medical facilities, extrication of patients from confined areas, and other procedures within county protocols.

 

Transportation of patients to local and regional medical facilities, maintaining contact with medical staff during transport as needed, and ensuring care of patient; oversight of treatment and care  for long-term care patients during transports 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; study’s 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 fire departments or volunteer emergency medical service organizations, as requested.

 

 

 

ADDITIONAL JOB DUTIES

 

With appropriate certification, may serve as a Field Training Officer with new employees, overseeing and documenting protocols.

 

Assists with the direction and control during disaster situations.

 

Performs other related work as required.

 

RECRUITMENT AND SELECTION GUIDELINES

 

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.

 

 

 

 

 

 

 

DESIRABLE EDUCATION AND EXPERIENCE

 

High School Diploma/GED is required and demonstrated ability to provide EMS services at the Paramedic level; or any equivalent combination of training and experience which provides the required knowledge, skills, and abilities.

 

SPECIAL REQUIREMENTS

 

Certification by the North Carolina Office of Emergency Medical Services as a Paramedic.

 

Must possess a valid North Carolina Driver's License. 

 

AHA CPR-Provider Certification.

 

ACLS; ITLS or PHTLS; PALS, PEPP, or NRP are preferred. 

 

Other Certifications such as ICS 100 & 200, 700 & 800, NIMS, and Hazardous Materials Operations Level are required within six (6) months of hire. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Physical Requirements and Working Conditions:

 

 

Please briefly summarize the Physical Requirements of this position:

 

Must be physically able to operate a variety of machinery and equipment including suction units, immobilization equipment, intravenous infusions, syringes and medications, and cardiac monitors/defibrillators/pacers, two-way radios, mechanics tools, etc.  Must be physically able to operate a motor vehicle.  Must be able to exert up to 150 pounds of force occasionally, and/or up to 75 pounds of force frequently, and/or 20 pounds of force constantly to move objects.  Physical demands requirements are those for very heavy work.

 

Please review and complete as necessary for this position:

 

  1. The PHYSICAL ACTIVITY of this position (please mark ALL boxes that apply):

 

  1.  

X

CLIMBING:  Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and lefts and/or hands and arms.  Body agility is emphasized.  This factor is import if the amount and kind of climbing required exceeds that required for ordinary locomotion.

 

 

  1.  

X

BALANCING:  Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces.  This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.

 

 

  1.  

X

STOOPING:  Bending body downward and forward by bending spine at the waist.  This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.

 

 

  1.  

X

KNEELING:  Bending legs at knee to come to rest on knee or knees.

 

 

  1.  

X

CROUCHING:  Bending the body downward and forward by bending leg and spine.

 

 

  1.  

X

CRAWLING:  Moving about on hands and knees or hands and feet.

 

 

  1.  

X

REACHING:  Extending hand(s) and arm(s) in any direction.

 

 

  1.  

X

STANDING:  Particularly for sustained periods of time.

 

 

  1.  

X

WALKING:   Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another.

 

 

  1.  

X

PUSHING:  Using upper extremities to press against something with steady force in order to thrust forward, downward, or outward.

 

 

  1.  

X

PULLING:  Using upper extremities to exert force in order to draw, drag, haul, or tug objects in a sustained motion.

 

 

  1.  

X

LIFTING:  Raising objects from a lower to a higher position or moving objects horizontally from position-to-position.  This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles.

 

 

 

  1.  

X

FINGERING:  Picking, pinching, typing, or otherwise working primarily with fingers rather than with the whole hand or arm as in handling.

 

 

  1.  

X

GRASPING:  Applying pressure to an object with the fingers and palm.

 

 

  1.  

X

FEELING:  Perceiving attributes of objects … such as size, shape, temperature, or texture by touching with skin, particularly that of the fingertips.

 

 

  1.  

X

TALKING:  Expressing or exchanging ideas by means of the spoken word.  Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.

 

 

  1.  

X

HEARING:  Perceiving the nature of sounds at normal spoken word levels with or without correction.  Ability to receive detailed information through oral communication, and to make fine discriminations in sound.

 

 

  1.  

X

REPETITIVE MOTIONS:  Substantial movements (motions) of the wrist, hands, and/or fingers.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. The PHYSICAL REQUIREMENTS of this position (please mark ONLY ONE box):

 

 

The chart below defines the physical demand levels to assist with marking ONLY ONE box below:

 

 

Physical Demand

Level

Lifting Occurrences

 

Occasional
(0-3 hours)

 

Frequent (3-6 hours)

 

Constant (6-8 hours)

Sedentary

 

Up to 10 lbs.

 

Negligible

 

Negligible

Light

 

Up to 20 lbs.

 

10 lbs. and/or Walk/Stand/Push/Pull of Arm/Leg controls

 

Negligible and/or Push/Pull of Arm/Leg controls while seated

Medium

 

Up to 50 lbs.

 

10-25 lbs.

 

Negligible

Heavy

 

Up to 75 lbs.

 

25-50 lbs.

 

10-20 lbs.

 

  • Occasionally is defined as up to one-third of the time.
  • Frequently is defined as occurring one-third to two-thirds of the time.
  • Constantly is defined as occurring more than two-thirds of the time.

 

  1.  

 

SEDENTARY WORK:  Occasionally lifting up to 10 pounds.  Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of the time.

 

 

 

  1.  

 

LIGHT WORK:  Occasionally lifting up to 20 pounds, and/or up to 10 pounds of force frequently.  Even though the weight lifted may be a lesser amount, a job should be rated light work if:  1) the job requires walking or standing to a significant degree; 2) the job requires sitting most of the time, but entails pushing and/or pulling of arm or leg controls; and/or 3) the job requires working at a west production rate to entail constantly moving a weight less than 10 pounds.

 

 

 

  1.  

 

MEDIUM WORK:  Occasionally lifting up to 50 pounds, and/or moving 10-25 pounds frequently.

 

 

 

  1.  

X

HEAVY WORK:  Occasionally lifting up to 75 pounds, and/or frequently moving 25-50 pounds, and/or constantly moving 10-20 pounds.

 

 

 

 

 

 

 

 

 

 

  1. The VISUAL ACUITY REQUIREMENTS of this position (for A and B … mark ALL boxes that apply):

 

 

  1. The worker is required to have close visual acuity to perform one or more of the following:

 

X

Preparing and analyzing data and figures

 

 

 

 

Accounting

 

 

 

X

Transcription

 

 

 

X

Computer Terminal

 

 

 

X

Extensive Reading

 

 

 

X

Using measurement devices

 

 

 

X

Other (please specify:  Analyzing and monitoring medical equipment.

 

 

 

  1. The work is required to have visual acuity to perform one or more of the following:

 

 

                                    Operates machines such as lathes, drill presses, power saws, and mills where the seeing job is at

 

                                    or within arm’s reach.

 

 

 

Performance mechanical or skilled trades tasks of a non-repetitive nature such as carpenters,

 

technicians, service people, plumbers, painters, mechanics, etc.

 

 

 

The worker is required to have visual acuity to be the operator of trucks, forklifts, cranes, and

 

other equipment.

 

 

X

The worker is required to have visual acuity to determine the accuracy, neatness, and thoroughness of work assigned (i.e. custodial, food services, general laborer, etc.).

 

 

 

X

Other (please specify):  Analyzing and monitoring medical equipment.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. The CONDITIONS the worker will be subject to in this position (mark ALL boxes that apply):

 

 

  1.  

 

The worker is subject to inside environmental conditions:  Protection from weather conditions, but not

 

   necessarily from temperature changes.

 

  1.  

The worker is subject to outside environmental conditions:  No effective protection of weather.

 

 

  1.  

X

The worker is subject to both environmental conditions:  Activities occur inside and outside.

 

 

  1.  

X

The worker is subject to extreme cold:  Temperatures below 32 degrees for periods of more than one

 

                        hour.

 

  1.  

X

The worker is subject to extreme heat:  Temperatures above 100 degrees for periods of more than one

 

         hour.

 

  1.  

X

The worker is subject to noise:  there is sufficient noise to cause the worker to shout in order to be heard

 

   above the ambient noise level.

 

  1.  

X

The worker is subject to vibration:  Exposure to oscillating movements of the extremities or whole body.

 

 

  1.  

X

The worker is subject to hazards; includes a variety of physical conditions, such as proximity to moving

 

                        mechanical parts, electrical current, working on scaffolding and high places, exposure to high heat, or                                    exposure to chemicals.

 

  1.  

X

The worker is subject to atmospheric conditions:  One or more of the following conditions that affect the

 

   respiratory system of the skin:  fumes, odors, dusts, mists, gases, or poor ventilation.

 

  1.  

X

The worker is subject to oils:  There is air and/or skin exposure to oils and other cutting fluids.

 

 

  1.  

X

The worker is required to wear a respirator.

 

 

  1.  

X

The worker frequently is in close quarters, crawl spaces, shafts, man holes, small enclosed rooms, small

 

                        sewage and water line pipes, and other areas which could cause claustrophobia.

 

  1.  

X

The worker is required to function in narrow aisles or passage ways.

 

 

  1.  

 

Other (please specify):_________________________________________________________________

 

 

  1.  

 

None:  The works is not substantially exposed to adverse environmental conditions (such as in typical

 

                        office or administrative work).

 

 

 

 

 

 

 

 

 

 

 

 

  1. Occupational exposure to potentially infectious bodily fluids (please mark the following box “if” it applies):

 

 

X

           Yes, this applies

 

 

 

The worker is in contact with potentially infectious bodily fluids during the performance of his/her duties.  If so,

please list below examples of duties in which possible exposure to potentially infectious bodily fluids occur:

 

 

  1. Starting IV’s.

 

  1. Bandaging wounds.

 

  1. Delivering babies.

 

  1. Injections. 

 

 

 

 

 

 

Closing Date (If Any): 
Wednesday, June 23, 2021
County: 
Iredell
Certification Level: 
Paramedic