Emergency Medical Services EMT​/Paramedics

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Responsibilities:

Responds to emergency calls as a mobile medical unit driver or attendant; performs necessary rescue work in accordance with established protocols for Advanced Life Support; administers necessary emergency medical care.

Paramedics trained in approved training programs, certified by the Board of Medical Examiners to perform medical acts, and function in an approved mobile intensive care program, may do any of the following in accordance with protocols established by their sponsor hospital:

While at the scene of a medical emergency where the capability of continuous two-way voice communication is maintained with a physician or approved Mobile Intensive Care Nurse (MICN) located in the sponsor hospital and upon order of such physician of MICN, perform pulmonary ventilation by means of a menorah tube and administer epinephrine.

When confronted with a pulse less, non-breathing patient, perform cardiopulmonary resuscitation including, when appropriate, defibrillation by means of a manual defibrillator and pulmonary ventilation.

May perform any of the following procedures if allowed by the County Emergency Medical Services System in which they function:

• patient assessment;
• advanced and basic life support techniques in accordance with the American Heart Association or American Red Cross, including airway management and cardiopulmonary resuscitation;
• oxygen administration;
• hemorrhage control;
• treatment for shock;
• bandaging and dressing soft tissue injuries;
• splinting fractures and dislocations;
• treatment of injuries to the head, face, eye, neck and spine;
• treatment of injuries to the chest and abdomen;
• provision of basic life support for medical injuries;
• assisting in normal and abnormal childbirth;
• treatment of injuries as a result of heat or cold;
• treatment of burns;
• lifting and moving patients for transfer to a medical facility;
• extraction of patients from confined areas.

(Note that additional protocols employed in various emergency medical situations are referenced in the Emergency Medical Standard Operating Procedures Manual.)

Responds to non-emergency calls, such as requests to transport patients from hospitals to their homes or from local medical facility to a specialized medical center.

Evaluates condition of patients, gathers pertinent information, including patient medications, allergies, medical history, etc. and determines proper treatments.

Administers necessary emergency medical care, monitoring vital signs and performing basic life support skills such as bandaging, splinting, and cardiopulmonary resuscitation and advanced life support skills such as administering intravenous solutions and prescribed drugs, drawing blood, suctioning airways, and other treatments as instructed by a physician.

Utilizes life support equipment, including, immobilization equipment, MAST trousers, syringes, cardiac monitors, etc. in performance of patient care.

Prepares and transports sick or injured persons to appropriate facilities. Administers and directs others in administering treatment to patients while en route to hospital.

Communicates with medical facility, notifies facility of incoming emergency, prepares patient information and documents treatment given on ambulance call reports and provides report to the medical facility.

Participates in a continuous training program to improve competence in medical technical work and in ambulance service operation.

Answers telephone and responds to questions from the public.

Teaches…