Paramedic/Firefighter
Listed on 2026-01-12
-
Healthcare
Emergency Services / EMS, Paramedic
Title:
Paramedic Firefighter
FLSA Status:
Non-Exempt, Uniformed
Department:
Fire Department
Reports To:
Captain
Pay Grade: F-1
Annual Salary Range: $68,093.09 - $88,383.36
Job Purpose:
Under general supervision of a Captain, provides direct services, individually and as a member of a team in response to fire, rescue, hazmat, and other incidents. Additionally, a Paramedic Firefighter will respond to medical emergencies and provide pre-hospital ADVANCED LIFE SUPPORT care to victims of injury or illness. A Paramedic Firefighter is ordinarily the highest medical authority at an emergency medical scene and as such, makes medical decisions based on standing orders, protocols and orders from on-line and off-line medical direction.
EXAMPLE OF DUTIES
- Performs complex diagnostic and medical procedures including, but not limited to: intravenous cannulation, endotracheal intubation, recognition of cardiac rhythms and arrhythmias, and the administration of various medications.
- Drives and operates fire apparatus as assigned, and/or operates as a member of an ALS engine or truck company.
- Accurately completes written and verbal reports on patient care as required.
- Performs a thorough, daily inspection and check of the apparatus to which he/she is assigned; notifies station officer of any condition requiring repair or maintenance; ensures that the inventory of supplies and equipment is complete; assures that apparatus, equipment, and records are maintained and in good order.
- Comprehends and documents complete and accurate patient histories.
- Checks medications and equipment daily to ensure proper control and inventory.
- Participates in firefighting duties as assigned and according to the Paramedic Firefighter's certification level as described in the minimum qualifications section and duties as outlined in this job description.
- Lays hose lines, operates nozzles, fire pumps and hydrants; utilizes fire extinguishers and performs other actions to suppress fire; operates hydraulic, pneumatic, and manual and power tools.
- Participates in salvage operations and post fire operations to limit damage from flames, smoke or water as required.
- Participates in drills and training evolutions as directed.
- Participates in fire and life safety inspections of commercial and multi-family residential properties.
- Cleans and performs general maintenance of fire equipment and fire stations.
- Responds to scenes of accidents or acute illness for which emergency medical care has been requested.
- Required to transfer, lift, and move patients while employing appropriate safety and lifting techniques.
- Responds to hazardous materials incidents at an awareness level and responds to other calls for assistance as requested by the public.
- Participates in public education programs in schools, civic groups and other locations as requested.
- Conducts departmental training sessions on topics related to the employee's job functions.
- Utilizes city computer system for patient care documentation, record keeping, pre-incident planning and other job-related functions.
- Drives and operates fire apparatus under the direction of the station officer and according to procedures as outlined in the University City Fire Department SOGs.
- Participates in daily physical training as instructed.
- Performs related duties as required.
MINIMUM QUALIFICATIONS
- At least 21 years of age at time of employment
- Must have high school diploma or the equivalent (GED)
- Possess and maintain a valid state of residence driver's license
- Possess and maintain a good driving record
- Currently enrolled at the time of application or Graduate of the St. Louis County Fire Academy preferred
- Possess and maintain, as a condition of employment, a valid State of Missouri Paramedic license
- Possess a current and valid Pediatric Advanced Life Support certification
- Possess a current and valid Healthcare Provider Basic Life Support certification
- Possess a current and valid Advanced Cardiac Life Support certification
- Possess a current and valid Pre-Hospital Trauma Life Support, or International Trauma Life Support certification
- Physical agility test:
St. Louis County Fire Academy graduate or physical agility certification (CPAT) prior to employment - Demonstrate the ability to articulate and concisely communicate orally and in writing
NECESSARY KNOWLEDGE, SKILLS, AND ABILITIES
- Familiarity with existing triage, treatment and patient transport protocols.
- Familiarity with standing orders provided by the fire department medical director.
- Proficiency in advanced life support procedures.
- Knowledge of medical terminology.
- Ability to exercise appropriate safety tactics in firefighting and medical emergencies.
- In addition to basic life support (BLS) skills, must be proficient in advanced life support (ALS) skills including but not limited to IV therapy, cardiac monitoring, advanced airway control and a variety of medication therapies.
- Ability to handle high levels of personal stress and to maintain composure under a variety of adverse conditions, including verbal and physical abuse,…
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