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Job Title Advanced EMT
Location Birmingham, AL
Department Operations
FLSA Status Non-Exempt
Reports to Operations Manager
Shifts hiring Full-time

As a Lifeguard EMT, many times you have the opportunity to be the best part of someone's very bad day. With this in mind, we're not just looking to hire the first individual that walks through the door. The ideal Lifeguard EMT will be compassionate, mission focused, understanding, patient, highly skilled and very customer focused. 

It's our goal at Lifeguard to show our employees that we care as much for them as you do for the patients you're transporting. By offering competitve wages, attractive benefits package, paid time off, career development guidance and training we strive to hit our goal of having an engaged and passionate workforce.

If you feel you "fit" our criteria, looking for something more than just a "job" and meet the qualifications listed below we want to set up a time to speak with you either via phone, skype or in-person. 



SUMMARY: This position is responsible for providing basic and limited advanced life support skills as allowed by the local, state and federal protocols focused on  the acute management and  transportation  of critical  and  emergent patients to appropriate hospital or healthcare facility personnel. The AEMT provides assessment of and basic and limited advanced and pharmacological interventions to patients with acute out-of-hospital medical and traumatic emergencies, providing care to minimize secondary injury and provide comfort to the patient and family during transport. Must use sound judgment in the analysis of emergency and non-emergency situations and react calmly and quickly under these circumstances.


ESSENTIAL DUTIES AND RESPONSIBILITIES: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Drive an emergency vehicle to and from calls to transport patient(s) in a safe and prudent manner using the most efficient route to ensure the quickest response times.
  • Assist in carrying patient(s) by stretcher or other device to emergency vehicle and secure patient inside the vehicle choosing the safest means of transport.
  • Initiate patient treatment and care utilizing initial protocol treatment based on patient condition. Conduct basic and advanced life support skills including but not limited to: bleeding control, treatment of shock, emergency childbirth, splinting of fractures, airway control with supraglottic airway devices and/or tracheobronchial suctioning of an already intubated patient, assessing vital signs, spinal immobilization, lifting and moving patients, AED defibrillation, obtaining 12-lead EKGs, initiate and maintain peripheral intravenous and/or intraosseous access, administration and/or maintenance of non-medicated intravenous fluid therapy, and administration of oral, intravenous, intraosseous, intramuscular, or nebulized (inhaled) medications as outlined within the “The National Highway Traffic Safety (NHTSA), National EMS Scope of Practice” and the state scope of practice rules for area you serve. 
  • Obtain and preserve where possible samples of substances to assist hospital personnel in patient diagnosis and treatment.
  • Observe and keep records regarding symptoms of patients.
  • Communicate information to other members of the healthcare profession, patients, family members, and other responders as necessary and appropriate.
  • Accurately and completely document all information required by Lifeguard Ambulance Service, the local and state medical control, and the Ambulance Run Ticket or Patient Refusal form.
  • Complete and submit all other documentation (e.g. Daily Check Sheet) as established by local operations procedures.
  • Communicate any possible delays, customer service issues, supply shortages, equipment malfunctions and etc. to supervisor in a timely manner.
  • Follow up with customers as appropriate to gain feedback on services provided, seeking opportunities for process improvement.    
  • Inspect, safely operate, and maintain all equipment, supplies, and tools to meet standards set by Lifeguard Ambulance Service, local state, and local medical control.
  • Check emergency vehicle regularly to ensure vehicle is in good operating condition throughout shift.
  • Clean and maintain the cleanliness of Lifeguard Ambulance property, including but not limited to its vehicles, equipment, buildings, and surrounding area(s). Maintain a safe and healthy workplace as per the standards set forth by the Occupational Health and Safety Administration (OSHA), Lifeguard Ambulance, and Lifeguard SOG's.
  • Comply with all current policies and procedures. Remain aware of all policy changes and information posted on EMS Toolkit, on company notice boards, company email, and by communicating with leadership staff.
  • Stay current with leading industry practices/knowledge base.
  • Maintain all required licenses and certifications by attending courses provided by local operation and medical community to obtain CEU's and CEC's.
  • Provide   training   supervisor   with   documentation   of   current   certifications   and   training   documentation information for training file and provide updated copies as applicable.
  • Attend all required staff meetings.
  • Perform other duties as assigned.




  • Thorough  knowledge  of  emergency  medical  service  regulations,  policies,  and  operating  procedures  and techniques.
  • Thorough  knowledge  of  equipment  and  supplies  used  in  emergency  and  non-emergency  care of  patients, accident victim treatment, and patient transport.
  • Considerable knowledge of geography of the operating area and the location of roads and streets. Working knowledge of radio communication equipment.
  • Ability to operate a personal computer and related software and be able to type with accuracy.
  • Working knowledge of the safe operation of emergency vehicles and compliance with all state laws pertaining to the safe operation of an emergency vehicle.



To perform the job successfully, an individual should demonstrate the following competencies:

  • Analytical - Synthesizes complex or diverse information; uses intuition and experience to complement data.
  • Design - Demonstrates attention to detail.
  • Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; uses reason even when dealing with emotional topics.
  • Technical Skills - Assesses own strengths and weaknesses; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others.
  • Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.
  • Interpersonal Skills - Focuses on solving conflict, not blaming; maintains confidentiality; listens to others without interrupting; keeps emotions under control; remains open to others' ideas and tries new things.
  • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions. Written Communication - Writes clearly and informatively; edits work for spelling and grammar; varies writing style to meet needs; presents numerical data effectively; able to read and interpret written information.
  • Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests; able to build morale and group commitments to goals and objectives; supports everyone's efforts to succeed.
  • Diversity - Shows respect and sensitivity for cultural differences; promotes a harassment-free environment. Ethics - Treats people with respect; keeps commitments; inspires the trust of others; works with integrity and ethically; upholds organizational values.
  • Organizational Support - follows policies and procedures; completes administrative tasks correctly and on time; supports organization's goals and values.
  • Judgment - exhibits sound and accurate judgment; supports and explains reasoning for decisions; includes appropriate people in decision-making process. Motivation - sets and achieves challenging goals; demonstrates persistence and overcomes obstacles; measures self against standard of excellence.
  • Planning/Organizing - prioritizes and plans work activities; uses time efficiently; plans for additional resources; sets goals and objectives.
  • Professionalism - approaches others in a tactful manner; reacts well under pressure; treats others with respect and consideration regardless of their status or position; accepts responsibility for own actions; follows through on commitments. Quality - demonstrates accuracy and thoroughness; looks for ways to improve and promote quality; applies feedback to improve performance; monitors own work to ensure quality.
  • Quantity - meets productivity standards; completes work in timely manner; Strives to increase productivity; works quickly.
  • Safety and Security - observes safety and security procedures; determines appropriate action beyond guidelines; reports potentially unsafe conditions; uses equipment and materials properly. Adaptability - adapts to changes in the work environment; manages competing demands; changes approach or method to best fit the situation; able to deal with frequent change, delays, or unexpected events.
  • Attendance/Punctuality - is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time.
  • Dependability - follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments; commits to long hours of work when necessary to reach goals; completes tasks on time or notifies appropriate person with an alternate plan.
  • Initiative - volunteers readily; undertakes self-development activities; seeks increased responsibilities; looks for and takes advantage of opportunities; asks for and offers help when needed.




  • High school diploma or equivalent
  • Minimum of two (2) years experience in EMS setting preferred
  • Combination of education and experience considered
  • Must have experience driving an emergency vehicle



  • Current NREMT and/or State Advanced EMT license (where required).

  • Valid state driver’s license with proper endorsements as required by state, four years of licensed and unsupervised driving experience, and must be 21 years of age with a satisfactory driving record to meet the requirements of Lifeguard's Auto Insurance Policy Carrier.

  • Current BLS for Healthcare Provider (CPR) certification (American Heart Association preferred).

  • EVOC or equal Defensive Driving certification.

  • Current version of NIMS IS-100.b, IS-700.a, (Federally Required)  IS-200.b, IS-800.b (preferred for Disaster Relief Team (DRT) members)



This position receives direction and guidance from the Paramedic in the field and from the Field Training Officers. This position is directly supervised by the Assistant Supervisors, Supervisors, and Operations Managers.

This position has no direct supervisory responsibilities.



  • This job has no budgetary responsibilities.



environment factors and cognitive functions described  below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


PHYSICAL REQUIREMENTS: This position requires mostly field work and riding in an ambulance, involving frequent sitting, walking, standing, bending, and moderate squatting, crouching, kneeling, twisting, crawling and climbing, and working in awkward positions when moving patients from all types of locations and within the emergency vehicle and/or medical aircraft. It requires frequent lifting of up to 100 lbs. This position will be required to perform various lifts and transfers of patients who may require the use of one or more of the following items: stretcher or backboard, stair chair, neonate isolet, and possibly a two person manual transfer. This position will require partnering with another EMT to lift, carry, push, pull, maneuver, balance and transfer from one surface to another a body weight of up to 300 lbs, and additional equipment weight. This position requires manual dexterity of frequent simple and power grasping of both hands, moderate use of fine manipulation with both hands, and frequent pushing and pulling and reaching above and below shoulder level.   This position also requires frequent use of foot controls when driving, utilizing stretchers, or operating other medical equipment with foot controls. You might consider adding a requirement for having the ability to effectively utilize various forms of Personal Protective Equipment.

Hearing: Must be able to hear and understand information provided by patients, family or bystanders; must be able to hear breath sounds and accurately determine auscultated blood pressures; must be able to differentiate separate conversations in active, distracting environments; must be able to hear and understand radio traffic when responding with lights and sirens.

Speech: Must be able to speak and enunciate clearly and at a level audible to others in loud conditions, must be able to speak clearly in stressful situations, must be able to verbally communicate with patients, families and other emergency personnel.

Vision: Requires ability to identify and distinguish colors, clear vision at 20 inches or less (close vision) and clear vision at 20 feet or more (distant vision), peripheral and depth vision, as well as ability to adjust focus.


COGNITIVE FUNCTIONS: Must be able to analyze many variables and choose the most effective course of action for responding to calls, treatment and transportation of patients, and interaction with family members, facility personnel, and others. Must be able to handle novel and diverse work problems on a daily basis, including high pressure trauma scenes. Personal maturity and sound judgment are important attributes. Must be able to relate, communicate and interact with people at all levels within the company and at customer facilities, as well as with people of diverse backgrounds, age levels ranging from infant to senior, disparate levels of comprehension, and potentially dealing with confused and agitated patients or family members. Requires ability to analyze, evaluate, compare, and compile information, and the ability to coordinate, communicate, and instruct.


TYPICAL WORK ENVIRONMENT: This position requires driving an emergency vehicle throughout shifts of varying durations (up to 24 hours), use of stretchers, ventilators and other medical equipment; walking on uneven or slippery ground depending on the location in which the transport occurs; exposure to red lights and sirens on ambulance and other emergency responder vehicles; exposure to various weather conditions, day and evening shifts; potential exposure to dust, gas, fumes or chemicals (e.g. idling ambulances, responding to vehicle accidents); working at heights and/or in confined spaces (depending on the call); and potential for exposure to blood-borne pathogens, known and unknown medical conditions (Personal Protective Equipment is provided and precautions are required).



Advanced Emergency Medical Technician








Operations Supervisor




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