Paramedic

Salary: $52,286 - $74,360
Position Grade: 13G
Department: Fire Department, EMS Division
Job Type: Full-Time (Permanent)
Examination Number: EX1041
Location: EMS Headquarters - St. Louis, MO

Incumbents in this position respond to calls for emergency medical assistance and provide advanced medical care to the sick and injured.

Essential Functions and Responsibilities:

• Individuals hired in this position must possess and maintain a Paramedic License issued by the State of Missouri

• Duties of this position will involve the care and treatment of sick and injured persons, including: providing care and transportation of the sick and injured, consistent with the national performance standards of Paramedics documentation of activities and completion of appropriate forms providing guidance to the Emergency Medical Technician assigned to the medical unit.

• Drive, fuel, inspect and clean the ambulance, reporting maintenance for the ambulance and equipment used in pre-hospital care orders and maintains supplies and medications performs other duties as assigned.

• Responds to calls for emergency medical care. Operates ambulance and two-way communications equipment.

• Administers patient medication and starts intravenous line.

• Assesses patient vital signs, interprets EKGs, administers CPR and operates defibrillator machine.

• Assists with victim extrications and access as needed. Provides first aid, controls bleeding, applies splints to fractures and other stabilization techniques to the sick and injured.

• Documents activities and completes appropriate forms.

• Inspects and cleans ambulance. Replenishes consumable supplies.

• Fuels ambulance, checks fluid levels and fills, as needed, monitors operating condition and reports need for maintenance and repair.

Knowledge, Skills and Abilities:

• Data Utilization: Requires the ability to perform mid-level data analysis including the ability to audit, deduce, assess, conclude and appraise. Requires discretion in determining and referencing such to established criteria to define consequences and develop alternatives.

• Human Interaction: Requires the ability to provide paraprofessional level medical care, such as CPR, injury stabilization, starting intravenous line, operating defibrillator machine.

• Equipment, Machinery, Tools and Materials Use: Requires the ability to operate, calibrate, tune and synchronize, and perform complex rapid adjustment on equipment, machinery and tools such as ambulance, fire extinguisher, flashlight, heart monitor, blood pressure cuff, glucometer, oxygen tank regulator, ventilation and suction equipment, cervical collar, stretchers, backboard and EKG machine, and/or related materials used in performing essential functions.

• Verbal Aptitude: Requires the ability to utilize a variety of advisory data and information such as performance evaluations, training materials, medical documentation, insurance forms, ambulance run reports, check off lists, maps, street guides, technical operating manuals, statutes, procedures, guidelines and non-routine correspondence.

• Mathematical Aptitude: Requires the ability to perform addition, subtraction, multiplication and division; calculate percentages and decimals.

• Functional Reasoning: Requires the ability to apply principles of rational systems. Ability to interpret instructions furnished in written, oral, diagrammatic or schedule form. Ability to exercise independent judgment to adopt or modify methods and standards to meet variations in assigned objective.

• Situational Reasoning: Requires the ability to exercise the judgment, decisiveness and creativity required in critical and/or unexpected situations involving moderate risk to the organization.

• Environmental Factors: Tasks may risk exposure to adverse environmental conditions, such as dirt, dust, pollen, odors, wetness, humidity, rain, fumes, temperature and noise extremes, machinery, vibrations, electric currents, traffic hazards, toxic/poisonous agents, potential violence, disease, or pathogenic substances.

• Physical Requirements: Requires the ability to lift, push and pull over one hundred (100) pounds to move the sick and injured, extricating accident victims from wreckage. Requires the ability to stoop, kneel, crouch, crawl, bend, twist and climb to provide assistance to the sick and injured, assist in extricating victims and other duties required at emergency medical situations.

• Sensory Requirements: Requires the ability to recognize and identify similarities or differences between characteristics of colors, shapes, sounds and odors associated with job-related objects, materials and tasks to evaluate patients’ condition.

Other Requirements:

• Must be available to work varying shifts including nights, weekends, holidays, and overtime.

A high school diploma or General Educational Development (G.E.D.) certificate.

Certification: Current certification in Advanced Cardiovascular Life Support (ACLS) through the American Heart Association.

Licenses: Applicants must possess and maintain all of the following while employed by the City of St. Louis: a Missouri EMT-P (Emergency Medical Technician-Paramedic) License and a valid driver's license. Applicants who possess an EMT-P License from another state must obtain Missouri license reciprocity prior to appointment. Please note type of licenses, numbers and expiration dates on the Employment Application.

Scoring Components and Their Weights
Experience and Training: 100%
May be Subject to:
Background Investigation: Pass/Fail
Medical Examination: Pass/Fail

Documentation of Academic Credentials must be Submitted Upon Request: When completing the Employment History and the Educational/Training History sections of the Employment Application, please be as thorough as possible when describing your education, training and experience relating to this position. Applicants will only receive credit for their experience, training and education as shown on the application. Resumes will not be accepted as a substitute to a fully completed application. Incomplete applications will not be considered.

Veterans Preference Points: To be eligible for veteran's preference points, the applicant must submit a copy of their DD 214 Certificate of Release or Discharge from Active Duty with the Employment Application or upon request. The Director of Personnel may, in their discretion, accept alternate documentation.

City Residence Preference Points: City residents who pass an examination for a position in the classified service and do not receive any other preference will receive a five (5) point preference on a scale of 100 points on the exam. An additional one (1) point shall be added to the passing score of City residents who receive any other preference on a scale of 100 points. City residents must have resided in the City for at least one (1) year at the time of filing their application to be eligible for the preference points.

Accommodations: If assistance with the job application is necessary based on a physical impairment, mental impairment, or otherwise, they should reach out to the Office on the Disabled with contact information. This office will not disclose any information that an applicant or employee has a disability or has discussed possible accommodations without the applicant's or employee's prior consent.