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The EMT functions as a Basic Life Support (BLS) clinician responsible for the assessment, treatment, stabilization, and transport of patients in the prehospital and interfacility transport environments. EMTs provide emergency medical care consistent with:
-West Virginia Office of Emergency Medical Services (WVOEMS) Scope of Practice.
-West Virginia Statewide EMS Protocols.
-Medical Director standing orders and medical command.
-Monongalia EMS policies, standard operating guidelines, and credentialing requirements.
-EMTs are responsible for patient care, documentation, operational readiness of equipment and vehicles, professional conduct, and participation in training and quality improvement activities.
-EMTs represent Monongalia EMS through professional interactions with patients, families, healthcare providers, public safety partners, and the community.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
A. Possession of a high school diploma or General Education Diploma (GED).
B. National Registry of EMTs Emergency Medical Technician registration and to be renewed every two (2) years.
i. (Note: Due to NREMT implementation and grandfather clauses, some staff may not have NREMT certification).
C. West Virginia Office of EMS EMT Certification to be obtained in one (1) month of hire and renewed every two years.
D. Valid Driver's License with driving record acceptable by motor vehicle insurance carrier.
E. Minimum of two (2) years of driving experience.
F. Emergency Vehicle Operator Safety (EVOS) certification or successfully obtain within one (1) month of hire and renewed every four (4) years.
G. Valid BLS for Healthcare Providers or equivalent) certification or successfully obtain within one (1) month of hire and renewed every two (2) years.
H. Emergency pediatric Care (EPC) certification or successfully obtain within three (3) months of hire and renewed every four (4) years.
I. West Virginia Office of EMS Blood Endorsement (Assistant) or successfully obtain within one (1) year of hire and renewed annually.
J. Successful completion of National Incident Management System (NIMS) or successfully obtain within (1) month of hire.
i. IS 100: Introduction to the ICS System.
ii. IS 200: Basic Incident Command System for Initial Response.
iii. IS 700: An Introduction to the National Incident Management System.
iv. IS 800: National Response Framework, an Introduction.
K. Unencumbered ability to practice Emergency Medical Services within the State of WV and be in compliance with all federal, State, and Local Statutes rules and regulations.
L. Background check that does not demonstrate a threat to public safety, health or welfare nor an unwillingness to comply with state laws, rules, procedures, etc. Not have been convicted of driving under the influence of alcohol or drugs, reckless driving or other vehicular violation causing bodily injury or death within two (2) years prior to hire
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Associate, Bachelor, or graduate level degree from a regionally accredited post-secondary educational institution.
EXPERIENCE:
1. Two (2) years or more of experience as a field provider at the EMT level.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Professional Conduct
a. Employees represent Mon EMS whenever they are on and off duty, in uniform, or otherwise identifiable as members of the organization.
b. Conduct themselves in a manner that reflects positively on the agency.
c. Avoid behavior that could damage the reputation, credibility, or public trust of Mon EMS.
d. Comply with all agency policies related to professional conduct, communications, and interactions with the public.
e. Interact respectfully with patients, coworkers, public safety agencies, hospital staff, and the public.
f. Comply with all Mon EMS policies, procedures, and standard operating guidelines.
2. Minimum Professional Standards and Licensure Requirements
a. The EMS clinician must maintain the professional standards required to successfully obtain and maintain certification and licensure as an EMT. It is solely the clinicians' responsibility to maintain these. These requirements include, but are not limited to:
i. Maintaining National Registry of Emergency Medical Technicians (NREMT) registration as an EMT.
ii. Maintaining West Virginia EMT licensure through the West Virginia Office of EMS.
iii. Maintaining eligibility for licensure under West Virginia law and regulations.
iv. Maintaining a valid driver's license and driving record acceptable to the agency's motor vehicle insurance carrier.
v. Maintaining all certifications and training necessary to function as an EMT by Mon EMS, the state of West Virginia, and the federal government.
3. Clinical Credentialing and Clinical Privileges
a. EMTs employed by Monongalia EMS must be clinically credentialed by the agency and its Medical Director prior to independently performing patient care independently.
b. Possession of a state EMS certification or National Registry certification alone does not grant authorization to perform clinical skills within Monongalia EMS. Clinical privileges are granted only after successful completion of agency credentialing processes (Field Training and Evaluation Program).
c. The Medical Director or designee may restrict, modify, or delay clinical privileges until competency is demonstrated.
d. EMTs may perform only those procedures and treatments that are:
i. Authorized by the West Virginia EMS Scope of Practice.
ii. Permitted under West Virginia EMS Protocols.
iii. Approved by the Mon EMS Medical Director.
iv. Authorized through Mon EMS credentialing.
e. To maintain clinical privileges, EMT must:
i. Maintain required NREMT and state licensure.
ii. Maintain required continuing education.
iii. Maintain required clinical certifications.
iv. Successfully complete agency competency evaluations.
v. Maintain compliance with protocol and documentation standards.
f. EMTs are also required to participate in:
i. Clinical review.
ii. Quality assurance and quality improvement programs.
iii. Skills verification.
iv. Protocol updates.
v. Continuing education programs.
g. Clinical performance is continuously evaluated through:
i. Patient care report audits.
ii. Quality assurance reviews.
iii. Field performance evaluations.
iv. Medical director case reviews.
v. Skills competency evaluations.
h. Clinical concerns may result in:
i. Remedial training.
ii. Temporary restriction of clinical privileges.
iii. Suspension of clinical privileges.
iv. Reassignment of duties.
v. Corrective action consistent with agency policy.
I. The Mon EMS Medical Director has the authority to:
i. Grant clinical privileges.
ii. Modify clinical privileges.
iii. Restrict clinical privileges Require additional training Suspend clinical privileges for patient safety concerns Clinical privilege decisions may occur independently of employment discipline and are intended to ensure patient safety and protocol compliance.
4. Patient Care and Clinical Operations
a. Provide Basic Life Support (BLS) patient care consistent with the West Virginia EMT Scope of practice and applicable EMS protocols.
b. Perform comprehensive patient assessments and formulate appropriate treatment plans.
c. Perform advanced airway management, pharmacological interventions, defibrillation, and other BLS procedures authorized by protocol and credentialing.
d. Initiate and maintain appropriate medical treatments, including medication administration and monitoring.
e. Provide medical care during 911 emergency responses, interfacility transports, and specialty transports consistent with agency credentialing and transport requirements.
f. Obtain medical direction when required by protocol or clinical judgment.
g. Continuously monitor patient condition and adjust care as appropriate.
h. Communicate patient condition and treatment information to receiving facilities.
5. Clinical Documentation
a. Complete accurate and timely electronic patient care reports (ePCRs) for all patient contacts.
b. Ensure documentation meets agency, regulatory, and billing requirements.
c. Accurately record patient assessment findings, treatments provided, and patient response to interventions.
d. Participate in documentation audits and quality improvement initiatives as required.
e. Maintain confidentiality of patient information and comply with all applicable HIPAA and privacy regulations.
f. Complete documentation in accordance with the timelines established in Monongalia EMS policies.
6. EMS Operations and Response
a. Ensure assigned ambulance and equipment are operational and properly stocked.
b. Conduct required equipment and vehicle inspections.
c. Respond promptly to emergency and non-emergency calls for service as assigned.
d. Operate safely within emergency scenes while maintaining awareness of environmental hazards, personal safety, and patient safety.
e. Assist with ambulance operations including preparation of the patient compartment, securing equipment, and preparing the vehicle for transport.
f. Participate in incident management activities consistent with the Incident Command System (ICS) when responding to multi-agency incidents or mass casualty incidents.
g. Identify and report equipment malfunctions, damaged supplies, or missing equipment to supervisory personnel.
h. Maintain cleanliness and operational readiness of ambulances, stations, and equipment.
i. Assist with restocking medical supplies and maintaining inventory levels necessary for operational readiness.
7. Education, Training, and Competency
a. Successfully complete all required educational components of the Monongalia EMS New Hire Academy
b. Successfully complete the Field Training and Evaluation Program to become a credentialed clinician with Mon EMS.
c. Participate in simulation training, classroom instruction, skills labs, clinical rotations, and field internship assignments.
d. Demonstrate competency in EMT skills and knowledge. Complete assigned training, continuing education, and competency evaluations within required timeframes.
8. Quality Assurance and Quality Improvement
a. Participate in the organization's Quality Assurance and Quality Improvement (QA/QI) programs to support continuous improvement in patient care, clinical performance, and operational readiness.
b. Responsibilities include:
i. Accurately completing patient care documentation.
ii. Participating in case reviews, skills verification, and educational feedback processes as assigned.
c. The EMS clinician will demonstrate a commitment to improving clinical knowledge, psychomotor skills, and professional performance through feedback, simulation training, remediation when necessary, and participation in agency educational and competency programs.
d. The EMS clinician must comply with all Monongalia EMS quality standards, documentation requirements, and clinical performance expectations, and decisions of the Medical Review Committee.
9. Safety Culture
a. The EMS clinician will lead by example to ensure that all activities performed while on duty at Mon EMS are done in a manner to ensure the safety of Mon EMS personnel, our patients, and the community. This includes attitude toward safety such as, but not limited to: vehicle safety, OSHA compliance, scene management, routine facilities maintenance, etc.
b. Adhere to all safety practices including infection control procedures, personal protective equipment requirements, and bloodborne pathogen precautions.
c. Promote a culture of safety for personnel, patients, and the community.
10. Teamwork and Organizational Support
a. Work cooperatively with EMS personnel, healthcare providers, and other emergency responders.
b. Participate in routine station duties including cleaning, maintenance, and operational support tasks.
c. Assist with agency activities including public safety initiatives, training events, and community outreach when assigned.
d. Perform additional duties as assigned by supervisory personnel consistent with the training level and role of the EMS clinician.
11. Work Environment and Exposure Conditions
a. The EMS clinician performs duties in a wide variety of environments typical of emergency medical services operations. These environments may include unpredictable and hazardous conditions.
b. The EMS clinician must be able to work effectively in environments that may include, but are not limited to:
i. Indoor and outdoor environments in all weather conditions, including extreme heat, cold, rain, snow, and ice.
ii. Emergency scenes include roadways, highways, industrial locations, residential structures, commercial buildings, and remote or difficult-to-access locations.
iii. Exposure to infectious diseases, bloodborne pathogens, bodily fluids, and other potentially hazardous biological materials.
iv. Exposure to hazardous materials, chemicals, fumes, smoke, fire, dust, or gases.
v. Situations involving emotionally distressed patients, traumatic injuries, critically ill patients, or deceased individuals.