SUMMARY OF JOB PURPOSE

• 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.
• Part-Time Advanced EMTs generally work 12-24 hour shifts, as assigned. Advanced EMTs will be issued department-approved uniforms (shirts, pants, jacket) 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-level Field Training and Evaluation Program appropriate to their level of certification (i.e. Advanced EMT). For new hire employees, the staff member must complete Phase I and Phase II within three months of hire. Part-time staff should attempt to complete Phase III within 6 Months, extensions will be authorized by Ambulance Chief or Deputy Chief.
• Meet satisfaction of authorization and continued endorsement by the Elko County Ambulance Services’ Medical Director.
• This position has been identified as affecting public safety.
• Persons offered employment must pass a criminal background check.
• Persons offered employment in this class must pass a pre-employment screening for alcohol and controlled substances. As a condition of continued employment, this position is subject to passing random screening for alcohol and controlled substances as required by Elko County personnel policies.
• Persons offered employment must pass a thorough medical examination as well as recertify every two (2) years.

ADDITIONAL PREFERRED CREDENTIALS

• National Registry of Emergency Medical Technicians Advanced EMT Credential
• ICS 300; ICS 400
• Nevada EMS Instructor Endorsement
• Nevada Immunization Endorsement
• Certifications in additional EMS-related disciplines such as ACLS, AMLS, PEPP, PALS, etc.
• Instructor credentials in additional EMS-related disciplines
• Elko County reserves the right to waive any of the minimum qualifications for those applicants whose general or specific qualifications would otherwise qualify the applicant for the position or lead the appointing authority to believe that the applicant is capable or performing the assigned duties and fulfilling the needs of the Department.

ESSENTIAL FUNCTIONS AND REQUIRED KNOWLEDGE, SKILLS AND ABILITIES (KSA’s)

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

An employee in this position must have the following knowledge, skills, and abilities upon application:

• Responding to emergency calls calmly, efficiently, and promptly.
• Staffing special event standbys to include providing BLS and ALS care to patients at the 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, enroute 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 the 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 an 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 Elko County Ambulance Service’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. Failure to comply with the Elko County Ambulance Service’s policies and procedures on patient privacy may result in disciplinary action up to and including termination of employment or of membership or association with Elko County Ambulance Service.
• The incumbent may access protected health information and other patient information only to the extent that is necessary to complete job duties or an assignment. The incumbent may only share such information with those who need to know in order to complete their job duties, including responsibilities related to treatment, payment or other Elko County Ambulance Service operations.
• The incumbent is expected to immediately report, without fear of retaliation, any possible breaches, potential violations, or observed practices that may compromise patient privacy in violation of Elko County Ambulance Service’s policies and procedures to the Ambulance Chief and Compliance Officer. 
• The incumbent is expected to actively participate in Elko County Ambulance Service privacy training as determined by the Department and is required to clearly communicate privacy policy information to partners, students, patients, and others in accordance with Elko County Ambulance Service policy.

The incumbent must possess and apply knowledge and skills necessary to perform the duties of an operator 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 law, regulations, and standards, and in accordance with Elko County Ambulance Service policies, rules, and guidelines.
• Assuring that vehicles are always in good working condition, are properly maintained and stocked, have all necessary equipment and this equipment is always in good working order. Must report any equipment not in good working condition to the Ambulance Chief, Deputy Chief, or Captain 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 and non-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 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 transport 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 the 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 Elko County Ambulance Service.
• Station duties include 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 Chief, Deputy Chief, or designee.
• Performing any other duty related to Elko County Ambulance Service as designated by the Ambulance Chief, Deputy Chief, or Captain.

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.
• Assure that all certifications, licenses, and registrations are up to date.
• Conduct him/herself in a customer-oriented, courteous, helpful, dignified, and professional manner at all times when dealing with patients, co-workers, supervisors, and/or the public.

PHYSICAL DEMANDS, COGNITIVE FUNCTIONS AND WORKING ENVIRONMENT

• Regularly required to speak and hear in team settings and/or one-on-one conversations. Frequently required to sit and use hands to finger, handle, or feel. Regularly required to stand; walk; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl and taste or smell.
• This position requires field work and riding in an ambulance, involving frequent sitting, walking, standing, bending, moderate squatting, crouching, kneeling, twisting, crawling, and climbing, and working in awkward positions when moving patients from all types of locations and within the emergency vehicle. Frequent lifting of up to 100 lbs. Required to perform various lifts and transfers of patients who may require the use of one or more of the following items: stretcher or backboard, stair chair, neonate isolette, and possibly a two-person manual transfer. This position will require partnering with another EMT to lift, carry, push, pull, maneuver, balance, and transfer from one surface to another a body weight of up to 300 lbs., and additional equipment weight. Requires manual dexterity of frequent simple and power grasping of both hands, moderate use of fine manipulation with both hands and frequent pushing and pulling and reaching above and below shoulder level. This position also requires frequent use of foot controls when driving, utilizing stretchers, or operating other medical equipment with foot controls.
• Hearing: Must be able to hear and understand the information provided by patients, family, or bystanders; must be able to hear breath sounds and accurately determine auscultated blood pressures; must be able to differentiate separate conversations in active, distracting environments; must be able to hear and understand radio traffic when responding with lights and sirens.
• Speech: Must be able to speak and enunciate clearly and at a level audible to others in loud conditions, must be able to speak clearly in stressful situations, must be able to verbally communicate with patients, families, and other emergency personnel.
• Vision: Requires ability to identify and distinguish colors, clear vision at 20 inches or less (close vision) and clear vision at 20 feet or more (distant vision), peripheral and depth vision, as well as the ability to adjust focus.
• Must be able to analyze many variables and choose the most effective course of action for responding to calls, treatment and transportation of patients, and interaction with family members, facility personnel, and others. Must be able to handle novel and diverse work problems daily, including high-pressure trauma and medical scenes. Personal maturity and sound judgment are important attributes. Must be able to relate, communicate, and interact with people at all levels within the Company and at customer facilities, as well as with people of diverse backgrounds, age levels ranging from newborn to senior, disparate levels of comprehension, and potentially dealing with confused and agitated patients or family members. Requires the ability to analyze, evaluate, compare, and compile information, and the ability to coordinate, communicate, and instruct.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, department policies, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
• Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as percentages, ratios, and proportions to practical situations. Ability to apply concepts of mathematics to EMS-related disciplines such as pharmacology.
• Reasoning: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• This position may require driving an emergency vehicle throughout shifts of varying durations, use of stretchers, ventilators, and other medical equipment; walking on uneven or slippery ground depending on the location in which the call for service occurs; exposure to emergency lights and sirens on the ambulance and other emergency responder vehicles; exposure to various weather conditions, day and evening shifts; potential exposure to dust, smoke, gas, fumes or chemicals (e.g. idling ambulances, responding to vehicle accidents); working at heights and/or in confined spaces (depending on the call); and potential for exposure to bloodborne pathogens, known and unknown medical conditions (protective materials are provided and precautions are required).