|Job Title||Paramedic (EMT-P)|
EMTs must possess current:
- New York State Certified EMT Paramedic
- REMSCO/REMAC Paramedic Certification
- New York State drivers license (if required by Midwood)
- Any and all other requirements for the position as determined by the New York State Department of Health or other regulating agency or statute.
The crew member who acts as the patient care attendant is responsible for all aspects of patient care, beginning with preparation of the patient compartment of the ambulance at the start of the shift.
The duties of the crew include but are not limited to:
Arrival for tour of duty:
The crew must arrive on time, in proper uniform, neat and clean and in possession of a New York State Emergency Medical Technician Certificate and a Midwood Identification Badge. Personal patient care equipment when present, must be in good working order and clean. Persons who do not meet these criteria will not be allowed to start work.
Prior to departing the garage ‑ the crew must :
- Perform a visual inspection of the patient compartment, inside and out, for cleanliness and damage.
- Ensure access to and egress from the patient compartment via the rear and side doors.
- Clean the patient compartment and equipment as necessary
- Complete the inventory check sheet (Part 800 list).
- Replace damaged or missing items.
- Present the signed, dated check‑out sheet to the supervisor.
The crew is responsible to ensure that the ambulance is at all times in compliance with Sections 800.22, 800.23 and 800.24 of the New York State Department of Health regulations and applicable OSHA regulations. All patient care equipment must be clean and sanitary (except when sterile is required) and all equipment must function properly. Failure to carry out this responsibility will result in disciplinary action.
During the tour of duty ‑ the attendant must :
- Respond to all calls as directed by the dispatcher.
- Treat all patients in accordance with New York State Basic Life Support Protocols and applicable regional and local ALS protocols.
- Secure pertinent information and records from the discharge clerk or RN at the transferring facility.
- Introduce themselves to the patient and call the patient by proper name e.g., Mrs. or Mr.
- Tell the patient what is happening and where the patient is going.
- Transport all patients on the stretcher.
- Carry all patients to and from the ambulance ‑ none are to walk.
- Carefully monitor all patients during transport.
- Record changes in patient's condition during transport.
- Alter patient care in accordance with changes in the patient's condition.
- Take all patients to their assigned room at a medical facility or to their apartment on discharge.
- Patients are never to be left at the door.
- Properly complete the patient care record.
- Properly complete all company paperwork and obtain all necessary signatures for billing purposes.
- Report with the patient and records to the appropriate person at the receiving facility.
- Maintain professional demeanor and courteous interaction with all medical facility staff.
- Replace equipment in the ambulance as necessary to maintain compliance with State regulations and policy.
- Return the patient compartment to a condition of readiness for the next call.
- Notify dispatch of any change in patient’s destination.
Quality patient care is the primary goal of our company. All PCRs are subject to retrospective review by our Quality Assurance manager. Deficiencies in recording or in patient care will be promptly addressed in accordance with our current company Quality Assurance policy.
Ambulances are subject to inspection by representatives of the State EMS office without advance notice. Inspectors will show proper identification and conduct inspections on the spot.
In the event of an inspection, the crew must notify the dispatcher immediately, then cooperate fully with the inspector. As requested by the inspector, the crew will present or demonstrate any or all equipment on the ambulance.
At the completion of the inspection, the inspector will present the crew with a copy of the inspection sheet that will be turned over to the supervisor at the end of the shift. The crew will promptly notify the dispatcher of the results of the inspection.
In the event a violation notice is issued, the crew must contact a supervisor prior to accepting another patient. The supervisor will decide the course of action.
Our policies and procedures are geared toward strict compliance with the New York State Department of Health regulations. In the event a violation results from an administrative shortcoming, management will accept responsibility and promptly correct the procedure. In the event a violation results from failure on the part of the attendant, disciplinary action will be taken.
End of tour:
The crew must return the ambulance to the garage, secure the ambulance and equipment as required, replace all supplies used during the tour and then report to the supervisor. All paperwork as well as a report of any problems encountered during the tour will be reported to the supervisor.
The foregoing delineates primary responsibilities but is not intended to eliminate creative effort on the part of our employees. Management encourages constructive criticism and recommendations for modification of policies that will result in improving our work environment and service to our patients and clients.
- Completes required in service training.
- Maintains state and local certification.
- Inventories and services ALS supplies and drugs in accordance with applicable local, state and federal regulations.
- Ensures that the assigned ambulance is equipped in accordance with applicable regulations.
- Performs ALS patient care in accordance with regional and state protocols.
- Records patient care on proper forms.
Notice: EMS agencies in NYS are required by law (Executive Law Section 837-s) to check applicants (who may be involved in the care or transportation of patients) personally identifying information against the Sex Offender Registry and make a determination of eligibility to become a member/employee pursuant to Correction Law Article 23-A.