EMT: IV (Full-time)

EMT: IV

Pagosa Springs Medical Center - Pagosa Springs, Colorado

Salary Range $20.67 - $24.61 Hourly Position Type Full Time

Position Highlight

Provide compassionate, high-quality emergency medical care while serving a rural mountain community as part of a skilled and collaborative EMS team.

Position Summary

Pagosa Springs Medical Center (PSMC) is seeking a dedicated and experienced EMT: IV to join our Emergency Medical Services team.

The EMT-IV provides direct pre-hospital patient care within the EMT-B scope of practice while assisting Advanced Life Support (ALS) partners in the assessment, treatment, and transport of sick and injured patients. This position requires sound clinical judgment, adaptability, teamwork, and the ability to remain calm and effective in dynamic and high-stress environments.

In addition to patient care responsibilities, the EMT-IV ensures assigned ambulances are mechanically sound and appropriately equipped at the beginning of each shift, participates in station responsibilities and training, and maintains all certifications required for the position.

Why Join PSMC?

• Serve the Pagosa Springs community as an essential member of our EMS team
• Provide meaningful, hands-on emergency care in a diverse rural environment
• Work alongside experienced EMTs, paramedics, nurses, providers, and other emergency response professionals
• Gain experience responding to a wide range of medical, trauma, and emergency situations
• Work a traditional 48/96 public safety schedule
• Build and maintain advanced pre-hospital patient care skills
• Participate in ongoing education, training, and emergency preparedness activities
• Live and work in the beautiful San Juan Mountains with exceptional year-round outdoor recreation

Key Responsibilities

Emergency Medical Care

• Provide direct patient care within the EMT-B scope of practice
• Assist ALS partners with advanced patient care as appropriate
• Assist with triage, assessment, and ongoing evaluation of patients
• Assess and reassess patient pain and utilize appropriate pain management techniques within scope of practice
• Provide appropriate care to patients in dynamic pre-hospital environments
• Address the psychosocial needs of patients and families
• Adapt care appropriately for patients of diverse cultural and religious backgrounds
• Perform patient care in a manner that promotes patient safety and reduces the likelihood of treatment errors

Ambulance & Equipment Operations

• Inspect the assigned ambulance at the beginning of the shift to ensure it is mechanically sound and appropriately equipped
• Operate ambulances and other EMS vehicles safely and responsibly
• Operate medical equipment safely and correctly
• Maintain familiarity with medications and IV fluids authorized within applicable protocols
• Maintain readiness of equipment and supplies necessary for emergency response
• Promptly identify and communicate equipment, vehicle, or safety concerns

Documentation & Quality

• Complete patient care documentation accurately and in accordance with current standards and policies
• Complete required documentation within the assigned shift
• Participate appropriately in quality assurance activities
• Accept and apply feedback from QA to continually improve clinical practice
• Maintain required training, continuing education, licensure, and certifications
• Follow established EMS and PSMC policies, procedures, protocols, and chain of command

Teamwork & Emergency Preparedness

• Work collaboratively with EMTs, paramedics, healthcare providers, law enforcement, fire agencies, and other emergency response partners
• Communicate effectively with EMS leadership and team members
• Demonstrate sound critical thinking and professional judgment in high-stress situations
• Understand the National Incident Management System (NIMS) and the role of EMS during large-scale exercises and actual incidents
• Assist with the orientation of new EMS staff members
• Participate in departmental training and emergency preparedness activities
• Support a professional, respectful, and team-oriented EMS culture

Station Responsibilities

• Participate in assigned station duties and chores
• Maintain clean, organized, and safe living and working quarters
• Follow established expectations for shared EMS living quarters
• Participate in departmental inventory activities as assigned
• Perform additional station, training, and operational responsibilities as needed

Qualifications

Education & Training

• Completion of the EMT-B national standard curriculum required
• Successful completion of a Colorado State-recognized IV training curriculum required

Experience

• Experience working as an EMT-B required
• Operational experience providing care to sick and injured patients strongly desired but not required
• Knowledge of clinical scope-of-practice skills, critical thinking, and pre-hospital patient care concepts required
• Experience providing pre-hospital care in dynamic environments requiring adaptability, situational awareness, and critical thinking strongly desired

Licensure & Certifications

• Current Colorado EMT-B certification required
• Current AHA BLS certification for Healthcare Providers required
• Must successfully complete a Fitness for Duty evaluation
• Must remain insurable under PSMC's automobile insurance requirements and maintain an acceptable driving record

Skills

• Strong pre-hospital patient assessment and clinical skills
• Sound critical thinking and decision-making abilities
• Ability to remain calm and professional during emergencies and rapidly changing situations
• Strong teamwork and interpersonal communication skills
• Ability to work independently while appropriately utilizing available resources
• Ability to safely operate emergency vehicles and medical equipment
• Basic computer skills, including Microsoft Office, electronic health records, and EMS software
• Ability to effectively manage multiple priorities and frequent interruptions
• Ability to perform the physical requirements associated with emergency medical care

Physical & Work Environment Requirements

This is a physically demanding emergency response position. The job description classifies the position as Very Heavy Work and includes lifting, carrying, pushing, pulling, kneeling, stooping, reaching, standing, walking, and other physical activities associated with patient movement and emergency response. Work is performed in a variety of environments and may involve exposure to inclement weather, roadway and traffic hazards, blood and bodily fluids, communicable diseases, hazardous materials, equipment hazards, and potentially challenging or physically aggressive situations.

What We're Looking For

The ideal candidate:

• Is passionate about providing excellent emergency medical care
• Remains calm, focused, and professional in high-stress situations
• Demonstrates strong clinical judgment and situational awareness
• Understands the importance of accurate and timely patient care documentation
• Works effectively as part of an EMT/Paramedic team
• Is adaptable and comfortable working in unpredictable environments
• Takes accountability for maintaining clinical skills, certifications, equipment readiness, and professional standards
• Communicates respectfully with patients, families, coworkers, healthcare partners, and other first responders
• Values teamwork and contributes positively to shared station responsibilities
• Embodies PSMC's WISER values of Wholeness, Integrity, Stewardship, Excellence, and Respect

Schedule, Hours & Overtime

PSMC EMS employees generally work 24- to 48-hour shift tours, with most operations following a traditional public safety 48 hours on / 96 hours off (48/96) schedule.

For employees scheduled to work 24 consecutive hours or more:

• Regular wages are paid for hours worked up to 40 hours in a single workweek
• Hours worked beyond 40 hours in the workweek are paid at 1.5 times the employee's regular rate
• Daily overtime after 1