If you enjoy helping people in medical emergencies – we’ll provide the training absolutely FREE. In cooperation with the New York State and Erie County Departments of Health and Emergency Services, we’ll train you to be a Certified First Responder (CFR), Emergency Medical Technician-Basic (EMT-B) or Emergency Medical Technician – Intermediate (EMT-I). EMS assigned members are not required to certify in firefighting courses.
Our fire department runs “First Response EMS” in that AMR Emergency Medical Services is contracted with the Town of Evans to be the primary EMS transport provider. Thus, our EMTs often initiate care when first arriving on our ambulance or light rescue, and handoff patient care to AMR’s Paramedic and EMT for transportation to the hospital. Our EMTs ride along and assist in continued patient care during transport when warranted.
EXPECTATIONS for EMS Assigned Personnel:
- New EMS Personnel must complete a NYS Certified First Responder-CFR or Emergency Medical Technician-EMT course within the one-year probationary period.
- Active EMS Personnel must respond to 10% of the total EMS calls per year.
Emergency Medical Technicians (EMT) respond to emergency calls to provide efficient and immediate care to the critically ill and injured, and to transport the patient to a medical facility.
EMTs also provide standby services for sporting and other events, and providing medical and firefighter-rehab support for fire, rescue and other incidents.
DESIRABLE KNOWLEDGE, SKILLS AND ABILITIES:
- Demonstrate a sincere desire to selflessly serve others with caring, compassion and respect
- Deal with the public courteously and effectively
- Maintain harmonious working relationships with coworkers by appreciating their value and contributions they bring to the organization; with an equal appreciation for the challenges they face in volunteering to the level they desire to serve
- Communicate effectively both orally and in writing
- Understand and execute specific orders or instructions
- React quickly and calmly in a stressful and hazardous condition
- Ensure that all work is performed in a safe manner, following all applicable safety guidelines. We work in real and potentially hazardous conditions to the extent of possible serious injury or loss of life.
- Recall facts and conditions observed while under severe physical and emotional stress.
EXAMPLES OF DUTIES:
DUTIES include but are not limited to:
- Reassuring patients and bystanders by working in a confident, efficient manner.
- Providing prehospital emergency medical care of simple and multiple system trauma
- Triaging the injured in accordance with standard emergency procedures
- Administering cardiopulmonary resuscitation, including use of automated external defibrillators
- Treatment of shock, bandaging wounds and immobilization of extremities, neck or spine
- Assist in emergency childbirth
- Manage general medical complaints of altered mental status, respiratory, cardiac, diabetic, allergic reaction, seizures, poisoning behavioral emergencies, environmental emergencies, and psychological crises.
- Assists patients with prescribed medications, including sublingual nitroglycerin, epinephrine autoinjectors and hand-held aerosol inhalers.
- Where a patient must be extricated from entrapment, the EMT assesses the extent of injury and gives all possible emergency care and protection to the entrapped patient and uses the prescribed techniques and appliances for safely removing the patient. If needed, the EMT radios the dispatcher for additional help or special rescue and/or utility services.
DESIRABLE KNOWLEDGE, SKILLS AND ABILITIES upon completion of training appropriate to your assignment:
- Functions in uncommon situations
- Has a basic understanding of stress response and methods to ensure personal well-being
- Prior to initiating patient care, the EMT will also “size-up” the scene to determine: that the scene is safe; the mechanism of injury or nature of illness; the total number of patients; and to request additional help, if necessary.
- Has an understanding of body substance isolation
- Understands basic medical-legal principles
- Functions within the scope of care as defined by state, regional and local regulatory agencies
- Complies with regulations on the handling of the deceased, notifies authorities and arranges for protection of property and evidence at the scene
- The EMT determines the nature and extent of illness or injury and establishes priority for required emergency care (triage)
- The EMT renders emergency medical and or trauma care, to adults, children and infants based on assessment findings
The EMT is responsible for:
- Lifting the stretcher (be able to lift and carry 125 pounds), placing it in the ambulance and seeing that the patient and stretcher are secured
- Continuing emergency medical care while enroute to the medical facility.
- The EMT uses the knowledge of the condition of the patient and the extent of injuries and the relative locations and staffing of emergency hospital facilities to determine the most appropriate facility to which the patient will be transported, unless otherwise directed by medical direction.
- The EMT reports directly to the emergency department or communications center the nature and extent of injuries, the number being transported and the destination to assure prompt medical care on arrival.
- The EMT identifies assessment findings, which may require communications with medical control, for advice and for notification that special professional services and assistance be immediately available upon arrival at the medical facility.
- Constantly assesses the patient enroute to the emergency facility,
- Administers additional care as indicated or directed by medical control,
- Assists in lifting and carrying the patient out of the ambulance and into the receiving medical facility
- Reports verbally and in writing, their observation and emergency medical care of the patient at the emergency scene and in transit, to the receiving medical facility staff for purposes of records and diagnostics
- Upon request provides assistance to the receiving medical facility staff.
After each call, the EMT:
- Restocks and replaces used linens, blankets and other supplies,
- Cleans all equipment following appropriate disinfecting procedures,
- Makes careful check of all equipment so that the ambulance is ready for the next run
- Maintains ambulance in efficient operating condition
- Ensures that the ambulance is clean and washed and kept in a neat orderly condition in accordance with local, state or federal regulations,
- Decontaminates the interior of the vehicle after transport of patient with contagious infection or hazardous materials exposure.
Additionally the EMT:
- Determines that the ambulance is in proper mechanical condition by checking items required by service management. Maintains familiarity with specialized equipment used by the fire company.
- Attends continuing education and refresher training programs as required by employers, medical control, licensing or certifying agencies.
No prior experience is necessary, but is always welcome. See which opportunity is the best fit for your time, talents and interests: