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About the Role

The EMT-Advanced functions as a primary provider of advanced prehospital emergency medical care and transportation. This role demands critical thinking, physical endurance, and the ability to perform in high-stress environments, often with limited support.

Responsibilities

• Provide unsupervised basic life support (BLS) care appropriate to the EMT-A level.
• Make autonomous decisions during assessment and treatment.
• Operate in the ambulance independently as either a driver or rear care provider.
• Perform comprehensive assessments.
• Administer EMTA scope medications, manage airways, and perform IV/IO access.
• Apply protocols for trauma, cardiac, respiratory, and medical emergencies.
• Perform interfacility transports at levels, BLS, and assist at PIFT, SCT.
• Administer required care as dictated by patient acuity.
• Accurately document findings and interventions in electronic or paper formats.
• Utilize the department’s designated electronic health record system to accurately document all patient encounters, including refusals and non-transports.
• Extricate patients from varied environments including confined spaces and wilderness areas.
• Ensure safe and comfortable transportation, with continuous patient monitoring.
• Relay clinical data to medical control and hospital staff.
• Coordinate via radio and digital communication systems.
• Perform daily checks of vehicles and equipment.
• Restock and clean as required.
• Follow EMS protocols and maintain licensure as defined by New Hampshire RSA 153-A and Saf-C 5900 rules.
• Participate in quality assurance programs.
• Complete all assigned requirements of both the department and the hospital.
• Uphold patient and coworker confidentiality and demonstrate compassion at all times.
• Maintain ethical standards and represent the department professionally to both internal and external stakeholders.
• Engage in professional conduct that supports a culture of safety, mutual respect, and mental wellness.
• Coordinate with fire, police, and other healthcare agencies as required.
• Participate in MCIs, community events, and disaster drills.
• Attend training sessions as required.
• Complete required department training/competencies.

Requirements

• Maintain required certifications
• NREMT-A
• Emergency Medical Services Provider License
• CPR
• At least 2 years of BLS field experience preferred.
• Must have an unrestricted driver’s license; clean driving record.
• Must be able to lift 100 lbs. or more.
• No restrictions on grip strength, bending, climbing stairs, including moving up or down them backwards, or maneuvering equipment/patients in challenging environments.
• Must perform prolonged physical activities and maintain alertness during long shifts or stressful scenarios.
• Ability to rapidly assess a variety of situations, make appropriate decisions applicable to state protocols, departmental policies etc.
• Corrected or uncorrected vision sufficient to drive, read monitors, medication labels, and navigate challenging environments.
• Adequate hearing to detect alarms, communicate with dispatch and partners, and respond to emergency signals.
• Clear and articulate verbal communication to coordinate with patients, families, and interagency personnel.

Skills

• Basic life support (BLS)
• Advanced prehospital emergency medical care
• Patient care decisions
• Scene management
• Clinical documentation
• Critical thinking
• Physical endurance
• High-stress environment performance
• Autonomous decision making
• Ambulance operation
• Comprehensive assessments
• EMTA scope medications
• Airway management
• IV/IO access
• Trauma protocols
• Cardiac protocols
• Respiratory protocols
• Medical emergency protocols
• Interfacility transports
• Patient acuity administration
• Electronic health record system utilization
• Patient extrication
• Confined space rescue
• Wilderness rescue
• Patient monitoring
• Clinical data relay
• Radio communication
• Digital communication
• Vehicle and equipment maintenance
• EMS protocol adherence
• Quality assurance program participation
• Patient and coworker confidentiality
• Compassion
• Ethical standards
• Professional representation
• Safety culture support
• Mutual respect
• Mental wellness support
• Coordination with external agencies
• Mass casualty incident (MCI) participation
• Community event participation
• Disaster drill participation

Location

• Not remote

Work Type

• Non-Exempt
• Full-time

Experience Level

• 2 years of BLS field experience preferred

Education Level

• High school diploma/GED required
• Associate degree or higher preferred