EMT (PART TIME)

Location: Emergency Medical Services Job Title: EMT Revision Date: 9/2004, 5/2008, 9/2013, 12/2013, 5/2014, 8/2015, 5/2016, 9/2017, 5/2018, 6/2019, 8/2020, 6/2021, 10/2022 GENERAL STATEMENT OF DUTIES Performs basic level life support with stabilization procedures, and provides emergency medical care and transportation in the Emergency Medical Services unit of the County.
DISTINGUISHING FEATURES OF THE CLASS An employee in this class is responsible for 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 appointments and medical facilities.
Work includes assuring that quality emergency patient care standards are in place, proper equipment and treatments are available, while using sound judgment to make treatment decisions.
Work is subject to both inside and outside environmental conditions, extremes in temperatures, noise, vibrations, hazards associated with emergency medical work including exposures to fumes, odors, dusts mists, gases, poor ventilation, and oils.
Because of the nature of the work, the employee is exposed to human blood and is subject to the OSHA requirements on blood borne pathogens.
Work is performed in accordance with established Standard Operating Procedures Manual and under State and Local Medical Director approved protocols.
Work is performed under the supervision of an EMT-Paramedic on the assigned vehicle and is evaluated through peer review, conferences, observation, and public feedback.
DUTIES AND RESPONSIBILITIES ESSENTIAL DUTIES AND TASKS Working within the EMT level of Certification, administers basic level life support techniques and procedures based on patient assessment; monitors patient status; assists in setting up appropriate medical treatments as allowed and assists with paramedic patient care.
Serves as an operator of an emergency medical unit while responding to calls for assistance.
Transports patients to medical facilities, nursing homes and medical appointments as necessary.
Gathers patient medical and insurance information from the patient, family members or bystanders and inputs 1 into the computer as per documentation requirements.
Participates in daily cleaning, stocking, and inventorying of emergency equipment and supplies.
Completes full patient care documentation through various paper and electronic based formats during and after calls for the service including information for billing documentation, and legal accountability.
Participates in a continuous training program to improve competence in medical technical work and in ambulance service 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 ambulances and their emergency equipment, maintaining proper inventory of equipment and supplies; cleans and sanitizes ambulance and 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 Performs other related work as required.
RECRUITMENT AND SELECTION GUIDELINES KNOWLEDGE, SKILLS, AND ABILITIES Considerable knowledge of and skill in administering emergency medical procedures at the EMT-Basic level; maintenance and repair of rescue equipment.
Considerable knowledge of anatomy and physiology.
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 socio-economic population based on the unique situations encountered.
2 Ability to respond quickly and calmly in emergencies and stressful situations.
Ability to safely drive an ambulance or transport vehicle in adverse conditions and according to motor vehicles 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 personnel, 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 perform the necessary work; or an equivalent combination of education and experience that provide the required knowledge, skills, and abilities.
SPECIAL REQUIREMENTS Certification by the North Carolina Office of Emergency Medical Services as an EMT level.
Possession of a valid North Carolina Driver's License.
CPR and other certifications in ICS 100,200, 700 & 800 (NIMS), and Hazardous Materials Operations Level are required within six (6) months of hire.
3 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): A.
CLIMBING: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using X 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.
B.
BALANCING: Maintaining body equilibrium to prevent falling when walking, standing, or crouching X 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.
C.
STOOPING: Bending body downward and forward by bending spine at the waist.
This factor is X important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.
D.
KNEELING: Bending legs at knee to come to rest on knee or knees.
X X E.
CROUCHING: Bending the body downward and forward by bending leg and spine.
X F.
CRAWLING: Moving about on hands and knees or hands and feet.
X G.
REACHING: Extending hand(s) and arm(s) in any direction.
X H.
STANDING: Particularly for sustained periods of time.
I.
WALKING: Moving about on foot to accomplish tasks, particularly for long distances or moving X from one work site to another.
J.
PUSHING: Using upper extremities to press against something with steady force in order to thrust X forward, downward, or outward.
K.
PULLING: Using upper extremities to exert force in order to draw, drag, haul, or tug objects in a X sustained motion.
X L.
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.
4 X M.
FINGERING: Picking, pinching, typing, or otherwise working primarily with fingers rather than with the whole hand or arm as in handling.
X N.
GRASPING: Appling pressure to an object with the fingers and palm.
X O.
FEELING: Perceiving attributes of objects … such as size, shape, temperature, or texture by touching with skin, particularly that of the fingertips.
X P.
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.
Q.
HEARING: Perceiving the nature of sounds at normal spoken word levels with or without correction.
X Ability to receive detailed information through oral communication, and to make fine discriminations in sound.
X R.
REPETITIVE MOTIONS: Substantial movements (motions) of the wrist, hands, and/or fingers.
2.
The PHYSICAL REQUIREMENTS of this position (please mark ONLY ONE box): 5 The chart below defines the physical demand levels to assist with marking ONLY ONE box below: Lifting Occurrences Physical Demand Occasional Frequent (3-6 hours) Constant (6-8 hours) Level (0-3 hours) Sedentary Up to 10 lbs.
Negligible Negligible 10 lbs.
and/or Negligible and/or Push/Pull of Light Up to 20 lbs.
Walk/Stand/Push/Pull of Arm/Leg controls while seated Arm/Leg controls 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.
A.
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.
B.
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.
C.
MEDIUM WORK: Occasionally lifting up to 50 pounds, and/or moving 10-25 pounds frequently.
X D.
HEAVY WORK: Occasionally lifting up to 75 pounds, and/or frequently moving 25-50 pounds, and/or constantly moving 10-20 pounds.
3.
The VISUAL ACUITY REQUIREMENTS of this position (for A and B … mark ALL boxes that apply): 6 A.
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 Extensive Reading X X Using measurement devices Other (please specify: Analyzing and monitoring medical equipment.
X B.
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.
The worker is required to have visual acuity to determine the accuracy, neatness, and X thoroughness of work assigned (i.
e.
custodial, food services, general laborer, etc.
).
X Other (please specify): Analyzing and monitoring medical equipment.
4.
The CONDITIONS the worker will be subject to in this position (mark ALL boxes that apply): A.
The worker is subject to inside environmental conditions: Protection from weather conditions, but not 7 necessarily from temperature changes.
B.
The worker is subject to outside environmental conditions: No effective protection of weather.
X C.
The worker is subject to both environmental conditions: Activities occur inside and outside.
X D.
The worker is subject to extreme cold: Temperatures below 32 degrees for periods of more than one hour.
E.
The worker is subject to extreme heat: Temperatures above 100 degrees for periods of more than one X hour.
F.
The worker is subject to noise: there is sufficient noise to cause the worker to shout in order to be X heard above the ambient noise level.
X G.
The worker is subject to vibration: Exposure to oscillating movements of the extremities or whole body.
H.
The worker is subject to hazards; includes a variety of physical conditions, such as proximity to X moving mechanical parts, electrical current, working on scaffolding and high places, exposure to high heat, or exposure to chemicals.
I.
The worker is subject to atmospheric conditions: One or more of the following conditions that affect X the respiratory system of the skin: fumes, odors, dusts, mists, gases, or poor ventilation.
X J.
The worker is subject to oils: There is air and/or skin exposure to oils and other cutting fluids.
K.
The worker is required to wear a respirator.
X L.
The worker frequently is in close quarters, crawl spaces, shafts, man holes, small enclosed rooms, X small sewage and water line pipes, and other areas which could cause claustrophobia.
M.
The worker is required to function in narrow aisles or passage ways.
X N.
Other (please specify):______________________________________________________________ O.
None: The works is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work).
5.
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: 8 1.
Starting IV’s.
2.
Bandaging wounds.
3.
Delivering babies.
4.
Injections.
9