Receive a dispatched call, verbally acknowledges the call, reads road maps, identifies the most expeditious route to the scene, and observes traffic ordinances and regulations.
Upon arrival at the scene, ensures that the vehicle is parked in a safe location. Safely performs size-up to determine scene safety including the presence of hazardous materials, mechanism of injury or illness, and the total number of patients. Performs triage and requests additional help as necessary.
In the absence of public safety personnel takes safety precautions to protect the injured and those assisting in the care of the patient(s).
Using body substance isolation techniques, protects the patient(s) and providers from possible contamination.
Inspects for medical identification emblems, bracelets or cards that provide patient emergency medical care information.
Determines nature and extent of illness or injury, checks respirations, auscultates breath sounds, takes pulses, auscultates/palpates blood pressure (including proper placement of the cuff), visually observes changes in skin color, establishes priority for emergency care. Based on assessment findings, it renders emergency care to adults, infants, and children.
Skills performed include but are not limited to establishing and maintaining an airway, ventilating patients, cardiac resuscitation, use of automated external defibrillators where applicable. In addition, provides prehospital emergency care of single and multiple system trauma such as controlling hemorrhage, bandaging wounds, treatment of shock (hypoperfusion), spinal immobilization and splinting of painful swollen or deformed extremities.
Manages medical patients to include, but are not limited to assisting in childbirth, management of respiratory, cardiac, diabetic, allergic, behavioral, and environmental emergencies and suspected poisonings.
Performs interventions and assists patients with prescribed medications, including sublingual nitroglycerine, epinephrine auto injectors, and metered dose aerosol inhalers observing safety measures for others and self.
Responsible for the administration of oxygen, oral glucose and activated charcoal.
Reassures patients and bystanders by working in a confident, efficient manner.
Functions in varied environmental conditions such as lighted or darkened work areas, extreme heat, cold and moisture.
Performs in situations that create stress and tension on a regular basis.
Where extrication is required, assesses extent of entrapment, and provides all possible emergency care and protection to the patient. Uses recognized techniques and equipment for removing patients safely (to include proper strap placement) Communicates verbally for additional help as needed.
Complies with regulations for the handling of crime scenes and prehospital deaths by notifying the appropriate authorities and arranging for the protection of property and evidence at that scene.
Lifts and moves patients into the ambulance and assures that the patient and stretcher are secured, continues emergency medical care enroute in accordance with local protocols.
Determines the most appropriate facility for patient transport. Reports to the receiving facility, the nature and extent of injuries, and the number of patients being transported.
Observes patients enroute and administers care as directed by medical control or local protocol. Able to maneuver to all points in the patient compartment while transporting with a stretchered patient. Assists in lifting and carrying patient and appropriate equipment from the ambulance and into the receiving facility.
Reports verbally and in writing, observations and emergency care given to the patient at the scene and in transit to the receiving staff for record keeping and diagnostic purposes. Upon request, aids the receiving facility staff.
Disposes of contaminated supplies in accordance with established guidelines, decontaminates vehicle interior, sends used supplies for sterilization.
Maintains ambulance in operable condition which includes cleanliness, orderliness and restocking of equipment and supplies. Determines vehicle readiness by checking oil, gas, water in battery and radiator, and tire pressure.
Checks all medical equipment for future readiness. Maintains familiarity with all specialized equipment.
Attends continuing education and or refresher training programs as required by EMS agency, medical direction, and/or certifying agency.
Meets qualifications within the functional job analysis of the EMT.
Advance Life Support Provider
The Advanced Life Support Provider must:
Be independent, confident, able to work independently without defined structure, have good stable reasoning ability with ability to draw valid conclusions expediently relevant to patient’s condition, often, using limited information;
Have knowledge and skills relevant to position and be able to implement them in stressful situations;
Be cognizant of all legal, ethical, and moral obligations inherent within scope of practice;
Be able to perform mathematical calculations/ratios and apply them in expedient, practical manner;
Have successfully completed an approved curriculum with achievement of passing scores on written and practical certification examinations as defined by programmatic guidelines;
At any given time, performs any or all tasks performed by a lower level EMT;
May supervise activities of students or interns, and/or may engage in writing of journal articles or teaching. Meets qualifications within the functional job analysis;
Meet minimum vision requirements to operate a motor vehicle within the state.
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