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Functional Position Description For an EMT / AEMT

Functional Position Description for EMT / AEMT as written in the New York State Department Of Health Emergency Medical Services Student Manual:

Qualifications

Must complete the Application for Emergency Medical Services Certification, including affirmation regarding criminal convictions. Successfully complete the NYS approved curriculum. Achievement of a passing score on practical and written certification examination. Must be at least 18 years of age. Generally, the knowledge and skills required show the need for a high school education or equivalent. Able to communicate effectively, via telephone and radio equipment; ability to lift, carry, and balance up to 125 pounds (250 pounds with assistance); ability to interpret written, oral and diagnostic form instructions; ability to use good judgment and remain calm in high-stress situations; ability to be unaffected by loud noises and flashing lights, ability to function efficiently throughout an entire work shift without interruption, ability to calculate weight and volume ratios; ability to read English language manuals and road maps; accurately discern street signs and address numbers; ability to interview patient, family members, and bystanders; ability to document, in writing, all relevant information in prescribed format in light of legal ramifications of such; ability to converse in English with co-workers and hospital staff as to status of patient. Possess good manual dexterity, with ability to perform all tasks related to highest quality patient care. Ability to bend, stoop, and crawl on uneven terrain, the ability to withstand varied environmental conditions such as extreme heat, cold, and moisture. Ability to work in low light and confined spaces. Ability to work with other providers to make appropriate patient care decisions.

Competency Areas
EMT Basic

Must demonstrate competency in assessment of a patient, handling emergencies using Basic Life Support equipment and techniques. Must be able to perform CPR, control bleeding, provide non-invasive treatment of hypo perfusion, stabilize / immobilize injured bones and the spine, manage environmental emergencies and emergency childbirth. Must be able to use a semi-automatic defibrillator. Must be able to assist patients to self-administer, or administer, emergency medications as described in state and local protocols.

AEMT Intermediate

Must demonstrate competency in all EMT-B skills and equipment usage. Must be able to provide Advanced Life Support showing competency in AEMT Intermediate skills and equipment.

AEMT Critical Care

Must demonstrate competency in all EMT-B skills and equipment usage. Must be able to provide Advanced Life Support showing competency in AEMT-Critical Care skills and equipment.

EMT Paramedic

Must demonstrate competency in all EMT-B skills and equipment usage. Must be able to provide Advanced Life Support showing competency in AEMT-Paramedic skills and equipment and must perform under Advanced Cardiac Life Support (ACLS) and Basic Trauma Life Support (BTLS) standards.

Description of Tasks

Responds to calls when dispatched. Reads maps, may drive ambulance to emergency scene using most expeditious route permitted by weather and road conditions. Observes all traffic ordinances and regulations.

Uses appropriate body substance isolation procedures. Assesses the safety of the scene, gains access to the patient, assesses extent of injury or illness. Extricates patient from entrapment. Communicates with Dispatcher requesting additional assistance or services as necessary. Determines nature of illness or injury. Visually inspects for medical identification emblems to aid in care (medical bracelet, charm, etc.). Uses prescribed techniques and equipment to provide patient care. Provides additional emergency care following established protocols. Assesses and monitors vital signs and general appearance of patient for changes. Makes determination regarding patient status and priority for emergency care using established criteria. Reassures patient, family members and bystanders.

Assists with lifting, carrying and properly loading patient into the ambulance. Avoids mishandling patient and moving with undue haste. Determines appropriate medical facility to which patient will be transported. Transports patient to medical facility providing ongoing medical care as necessary enroute. Reports nature of injury or illness to receiving facility. Asks for medical direction from the Medical Control Physician and carries out orders as appropriate. Assists in moving patient from ambulance into medical facility. Reports verbally and in writing observations of the patient’s emergency and care provided (including written report(s) and care provided by Certified First Responders prior to EMT-D/AEMT arrival on scene) to emergency department staff and assists staff as required.

Complies with regulations when handling deceased persons and when necessary notifies authorities. This may also involve other duties, including arranging for the protection of property and evidence at the scene.

Replaces supplies, properly disposes of medical waste. Properly cleans contaminated equipment according to established guidelines. Checks all equipment for future readiness. Maintains ambulance in operable condition. Ensures cleanliness and organization of ambulance, equipment and supplies.

Determines vehicle readiness by checking operator maintainable fluid, fuel and air pressure levels. Maintains familiarity with all specialized equipment.

Basic Employment Requirement
  • Hold a current New York State Basic or Advanced Emergency Medical Technician certification
  • Hold a current American Heart Association or American Red Cross Cardio Pulmonary Resuscitation (“CPR”) certification
  • Be at least 20 years of age
  • Be in good health and physical condition
  • Hold a current drivers license with an acceptable driving record
How to Find an EMT Class

If you are interested in becoming certified as an EMT there are classes throughout Tompkins County that begin at various times of the year. You can contact the Tompkins County EMS Coordinator at the Tompkins County Emergency Response Center on Brown Road at 607-257-3888.