The work involves responsibility for administering life support care, including advanced cardiac care and medications to sick and injured persons in a pre-hospital setting as authorized and directed by a Physician. Paramedics respond quickly, but safely, to emergency calls. They deliver pre-hospital emergency care at the scene of an injury or sudden illness. Once the patient can be safely moved and in an ambulance or other emergency vehicle, the Paramedic continues to assess the patient and provide necessary emergency care. The work is supervised by a Physician through radio communication and/or written protocols. Supervision is not typically a function of this classification. Does related work as required.




Assesses nature and extent of illness or injury to establish and prioritize medical procedures to be followed and the need for additional assistance.

Determines nature and extent of illness or injury, takes pulse, blood pressure, visually observes changes in skin

color, makes determination regarding patient status, establishes priority for emergency care and renders appropriate emergency care.

Restores and stabilizes heart rhythm on pulseless, non-breathing patient.

Monitors cardiac patient.

Initiates intravenous fluids to administer medication or drugs, or to replace fluids lacking in the body.

Performs endoctracheal intubation to open airways and ventilate patient.

Administers injections of medications and drugs.

Inflates pneumatic anti-shock garment on patient to improve blood circulation.

Assists in extricating trapped victims and transports sick and injured persons to treatment center/hospital.

Observes, records, and reports to Physician the patient’s condition and reaction to drug treatments and significant incidents.

Communicates with Physician and other medical personnel via radio/telephone.

Replaces supplies; properly disposes of medical waste; and cleans contaminated equipment according to established guidelines.

Complies with regulations in the handling of the deceased and notifies authorities.

May drive mobile intensive care unit/ambulance to emergency scene.

May use equipment such as defibrillator, electrocardiograph, etc.




Thorough knowledge of the principles and practices of administering advanced cardiac care and medications.

Thorough knowledge of advanced life support skills.

Thorough knowledge of the practices of establishing intravenous lifelines and advanced airway maintenance.

Thorough knowledge of the practices and techniques of cardiopulmonary resuscitation, bleeding control, fracture

care, defibrillation and assistance in childbirth.

Ability to interpret written, oral and diagnostic form instructions.

Ability to use good judgment and remain calm in high stress situations.

Ability to calculate weight and volume ratios.

Ability to read and interpret manuals, road maps, street signs and address numbers.

Ability to document in writing all relevant information in a prescribed format.

Ability to bend, stoop and crawl on uneven terrain and to withstand varied environmental conditions, such as

extreme heat, cold and moisture.

Ability to lift, carry and balance up to 125 pounds.

Physical condition commensurate with the demands of the position.




Possession of a current certification from the New York State Department of Health as an Advanced Emergency

Medical Technician 4 – Paramedic.


05/2001 Date of Original Composition