EMS Paramedic

Funds for this position will be available starting 10/1/2026. 

Reporting directly to a Lieutenant or Commander, responsible for providing pre-hospital clinical medicine in response to 911 calls. Operates and maintains medical equipment and emergency vehicles.

Field Paramedic – B.24

• Provides pre-hospital care based on Scope of Care
• Operates standard equipment; such as stretchers, patient care monitors and diagnostic equipment
• Operates Emergency Medical Services (EMS) vehicles under normal and emergency situations
• Assures vehicles are adequately stocked and in proper working order
• Maintains and troubleshoots medical equipment

• Assess emergency scenes and gives direction to patients, first responders, and/or bystanders 

• Utilizes electronic communication including portable and mobile radios, electronic patient care records, and computer aid dispatching equipment
• Extricates persons from vehicles, bends and lifts, and performs CPR for extended periods of time
• Functions independently once credentialed by the Medical Director
• Attends meetings, conferences, workshops, and training sessions and reviews publications and audio-visual materials to become and remain current on principles, practices, and new developments in assigned work areas 
• Works assigned shift, overtime when required, and attend all mandatory in-service training

• Maintains credentialing by the Medical Director
• Performs special duties as assigned

Demand Paramedic (in addition to Field Paramedic duties) – B.30

• Works to offset the work load of other emergent resources 
• Functions on an ambulance that is utilized for system status management stand-by before other emergency resources
• Functions on an ambulance that is utilized for emergent calls before other emergent resources when equal distance to call for service
• Functions on an ambulance that is utilized for non-emergent calls before other emergent
• Participates in assigned community education events by providing education about EMS functions and duties

ORGANIZATION RELATIONSHIPS

• Reports directly to – Lieutenant or Commander
• Direct Reports – No

PHYSICAL DEMANDS

• Position involves safely operating a motor vehicle and emergency equipment under normal and emergency conditions without any equipment modifications specific to any individual operator
• Position involves prolonged sitting, standing, walking, reaching, twisting, turning, kneeling, bending, lifting, climbing, squatting, and stooping in the performance of daily activities
• Position involves accessing patients on foot over rough terrain and obstacles
• Position involves hearing audible sounds and speaking in a clear, understandable voice
• Position involves extricating persons from vehicles
• Position involves partner to carrying equipment and patients weighing up to 225 pounds

• Physical Abilities
  • Must be able to perform strenuous physical requirements such as CPR, lifting and moving of equipment and patients in a variety of environmental conditions
• Fine Motor Skills
  • Must be able to perform required medical skills and techniques, such as bandaging, splinting, establishing an IV, performing endotracheal intubation and other advanced airway techniques, manual defibrillation, pleural decompression, and pericardiocentesis
• Vision
  • Must have correctable vision acceptable for day and night operation of emergency vehicles
  • Must have color acuity adequate for determination of skin and blood color
  • Must be able to read medication dosages on drug labels and syringes
• Hearing
  • Must be able to hear and understand 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

ENVIRONMENTAL FACTORS

• May be required to work in inclement weather, including extreme heat, cold and wet conditions
• High-volume, fast-paced environment dealing with life-threatening situations
• Constant contact with the public under duress and in crisis situations

IRREGULAR HOURS

• Work outside of the normal office hours (Monday-Friday 8 a.m. to 5 p.m.) is required
• Essential personnel for emergency situations; discretion of department director
• Regular attendance is required

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required of personnel so classified in this position. This job description is subject to change as the needs and requirements of the job change.

• All: High school diploma or equivalent
• All: Working knowledge of EMS operations, systems, and procedures

LICENSES AND CERTIFICATIONS

Required

• All: Certified or licensed by the Texas Department of State Health Services as a paramedic
• All: Federal Emergency Management Agency (FEMA) Incident Command System (ICS) 100, 200, 700 and 800
• Demand: Credentialed Williamson County EMS Paramedic

Required within thirty (30) days of employment

PREFERRED QUALIFICATIONS 

• All: Graduation from an accredited paramedic program
• All: Associate degree in a related field
• Field/Demand: One (1) year of experience as a 911 field paramedic
• Bilingual (Spanish)

EMPLOYMENT TESTING 

Employment is contingent on passing any post-offer pre-employment screening as listed below:

• Criminal background check: Yes
• Motor Vehicle Record check: Yes
• Drug screening: Yes
• Physical exam: Yes
• Psychological exam: No
• Additional: Tuberculosis, Office of Inspector General (OIG) List of Excluded Individuals and Entities (LEIE) database clearance

A Williamson County online application (resumes alone are not sufficient) must be received before the position is closed. Positions are open until filled, subject to close at any time after five (5) business days. The Human Resources Department is located at 100 Wilco Way, Georgetown, TX 78626. Phone (512) 943-1533 or visit our website at www.wilcotx.gov/469/Human-Resources.  
 

Williamson County is an Equal Opportunity Employer and complies with the Americans with Disabilities Act and Uniformed Services Employment and Reemployment Rights Act (USERRA).  If you require an accommodation in order to apply for a position, please request assistance from the Human Resources Department.

TOBACCO FREE WORKPLACE POLICY

Williamson County is a tobacco free workplace. The use of tobacco products (e.g., cigarettes, cigars, pipes, snuff, chew, etc.) and Electronic Nicotine Delivery Systems (ENDS) (e.g., vapor, e-cigarettes, etc.) is prohibited on all Williamson County premises. Employees who violate this policy are subject to appropriate disciplinary action up to and including termination of employment.

Salary : $25