Volunteer Paramedic

Paramedic Position

The Paramedic will perform duties associated with providing rescue services and emergency medical care to the sick and injured in accordance with all applicable laws, regulations, and Elko County Ambulance Service policies and protocols. A person in this position, although not a department supervisor, is the "lead" Elko County Ambulance Service representative and is expected to direct and coordinate other personnel (Emergency Medical Responders, Emergency Medical Technicians, and Advanced Emergency Medical Technicians) in both patient care and operational circumstances in the absence of the Ambulance Director, Assistant Ambulance Director, or designee.

Education and Experience

• High diploma or equivalent; associate degree in related field of study preferred.
• Minimum 3 years' experience in the field of rescue and emergency services, preferably at the paramedic level.
• State of Nevada Paramedic certification
• State of Nevada Ambulance Attendant's Endorsement
• ACLS (Advanced Cardiac Life Support)
• PALS (Pediatric Advanced Life Support) or equivalent
• CPR for the Professional Rescuer, Healthcare Provider, or equivalent
• EVOC/EVDT/CEVO certification, or equivalent
• Hazardous Materials Awareness
• IS 100; IS 200; IS 700; IS 800
• International Trauma Life Support or Prehospital Trauma Life Support certification or equivalent
• WMD/Terrorism Awareness for Emergency Responders

Knowledge, Skills, and Abilities

Duties may include, but are not limited to the following:

• Monitor and/or respond to a variety of calls, including phone, softphone, and two-way radio; verify and monitor vehicle unit locations via computers; record all service calls; prepare, prioritize, and relay transportation requests including emergency situations.
• Responding to emergency calls calmly, efficiently, and promptly.
• Staffing special event standbys to include providing BLS or ALS care to patients at event, arranging transport if necessary, and completing documentation for the event standby.
• Staffing interfacility transfers to include providing BLS or ALS care to patients being transferred between medical facilities and completing documentation for the patient transfer.
• Administering basic and advanced life support to patients at the scene, en route to the hospital, and in a pre-hospital setting, in accordance with federal, state, and local laws, regulations, and standards, and in accordance with Elko County Ambulance Service policies and guidelines.
• Assessing the nature and extent of injury or illness to establish and prioritize medical procedures to be followed. Relies on experience and judgment to plan and accomplish operational and patient care goals.
• Rescuing and extricating victims of accidents, sudden illness or entrapment using proper rescue and medical techniques, within scope of training.
• Effectively communicating with professional medical personnel and treatment facilities to obtain instructions regarding further treatment and/or to arrange reception of patients to the appropriate center.
• Maintaining order at scenes, including dispersing crowds and protection of the scene as appropriate.
• Ensure the professional provision of EMS in all circumstances, emergency and non-emergency, ensuring that high-quality customer service is provided to all customers, public safety agencies, and community members at all times.
• Completing patient care forms, insurance forms, evaluation forms, and all other forms and documentation in a competent and timely fashion.
• Adhere to and follow all policies and procedures concerning safety and contamination by blood-borne pathogens.
• Educate and/or train Ambulance Service personnel, EMS trainees, students, and the public.
• Functions as the lead Ambulance Service staff member when interacting with public safety agencies, local government officials, and others as assigned.
• The incumbent must perform all job responsibilities in a manner that protects patient privacy.
• The incumbent is expected to protect the privacy of all patient information in accordance with the Elko County Ambulance's privacy policies, procedures, and practices, as required by federal [and state] law, and in accordance with general principles of professionalism as a health care provider.
• The incumbent must possess and apply knowledge and skills necessary to perform the duties of a driver of ambulance service equipment, including but not limited to:
• Promptly responding to instructions from a dispatcher and driving and operating specially equipped emergency vehicles to specified locations at a safe and controlled speed, in accordance with federal, state, and local laws, regulations and standards, and in accordance with Elko County Ambulance Service policies, rules, and guidelines.
• Assuring that vehicles are in good working condition at all times, are properly maintained and stocked, have all necessary equipment and that the equipment is in good working order at all times. Must report any equipment not in good working condition to the Ambulance Director as soon as practical.
• Cleaning, organizing and restocking vehicles in a ready condition at the beginning of each shift and at the end of each call for service.
• Receiving and responding to requests for emergency ambulance service and other duties-related communication via two-way radio or other communication devices.
• Maintaining accurate records of ambulance equipment and other emergency equipment and/or personnel dispatched to each emergency and non-emergency request and other operational and administrative data as required to maintain the operational continuity of the Elko County Ambulance Service and as directed by superiors.
• Properly document each transport on the approved Patient Care Report in a timely manner in accordance with Elko County Ambulance Service policies and procedures.
• Handling telephone communications professionally and efficiently with careful regard to the divulgence of information.
• Coordinating requests for non-emergency transports in accordance with the Elko County Ambulance Service's non-emergency transport policies, procedures or practices.
• Monitoring communication equipment to maintain contact with the dispatcher and other EMS units.
• Maintaining apparatus and equipment in accordance with all policies, procedures and direction.
• Performing rescue operations within scope of training, equipment, and/or supervisory direction.
• The incumbent must perform routine tasks in and around the ambulance service building, including but not limited to:
• Checking, restocking, inventorying and cleaning any apparatus operated by the Elko County Ambulance Service.
• Station duties, including cleaning, doing dishes, emptying trash and other related duties in the ambulance station.
• Washing and drying towels, uniforms, personal protective equipment, and other laundry in the provided laundry equipment.
• Positively representing the ambulance service while on duty at public service functions, expositions, and other public events.
• Providing ambulance stand-by services at sporting events or any other activities designated by the Ambulance Director, Assistant Ambulance Director, or designee.
• Performing any other duty related to the Elko County Ambulance Service as designated by the Ambulance Director or Assistant Ambulance Director.
• The incumbent must also:
• Be timely and consistent in attendance. Reporting as scheduled and fit for duty is a key performance expectation for all Elko County Ambulance Service personnel. Regular and reliable attendance is a requirement and an essential function of all positions.
• Be a team player, as EMS is a team effort, and providers must provide necessary assistance to ensure system sanitation, readiness and adherence to quality assurance standards.
• Be flexible, as emergency services operate on a 24-hour clock; the incumbent's assigned work shift schedule may vary, and the incumbent should be available to respond immediately for a call during the assigned work period, and the start and shift times may vary due to the nature of the business.
• Maintain a thorough working knowledge of local geography, which includes maps, streets, and grid book systems.
• Maintain a thorough working knowledge of applicable current standards of care, including equipment functions and uses.

Other abilities required and special requirements:

• Must possess basic working knowledge of a Windows compatible computer and be able to enter necessary data into a computer. The incumbent must possess basic working knowledge of smartphones, tablets, and GPS devices and be able to enter necessary data into the device.
• Advanced EMTs generally work 40-48 hours per week, as assigned. Advanced EMTs will be issued department-approved uniforms (shirts, pants, jackets) and must wear them while on duty; additionally, Advanced EMTs will be responsible for the maintenance and cleaning of their issued uniforms and for compliance with department Uniform and Personal Appearance Standards.
• Elko County Ambulance Service requires that all new staff complete the department