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Paramedic​/Firefighter

Job in University City, St. Louis County, Missouri, USA
Listing for: City of University City
Full Time position
Listed on 2026-01-12
Job specializations:
  • Healthcare
    Emergency Services / EMS, Paramedic
Salary/Wage Range or Industry Benchmark: 68093 - 88383 USD Yearly USD 68093.00 88383.00 YEAR
Job Description & How to Apply Below

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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