Paramedic - FT

Salary : $43,470.24 - $61,422.31 Annually

Location : Emergency Medical Services - 75 First St SW Taylorsville, NC 28681

Job Type : Full-Time

Job Number : 202500077

Department : Emergency Medical Services

Opening Date : 09 / 15 / 2025

FLSA : Non-Exempt

Recruitment Rate / Range : $52,964.27 - $61,422.31

Position Description

An employee in this class performs professional advanced life support work in operating an approved medical unit, rescuing victims, and performing advanced emergency care including the administration of life sustaining treatment to patients on-site and while en-route to hospital. Work involves responding to the scene of emergency and non-emergency calls, applying necessary medical treatment to sick or injured persons, and transporting persons to a medical facility. Employee serves as a member of an ambulance crew and is responsible for the medical care administered to the patient. This position is differentiated from an Emergency Medical Technician of other certification levels by the additional requirements of performing defibrillation and cardioversion, using gas-powered or hand-powered nebulizers, decompressing a tension pneumothorax by use of a catheter-flutter-valve device, using positive-end expiratory pressure respirators, performing cricothyrotomy for relief of upper airway obstruction, performing gastric suction by intubations. Employee is also responsible for maintaining supplies, performing janitorial duties at the base, and performing miscellaneous office duties. Employee is exposed to the normal hazards of emergency rescue work, including risk of exposure to infectious diseases. Reports directly to a Paramedic Shift Supervisor and under the overall supervision of the EMS Director. The work schedule is 24 hours on duty / 72 hours off duty rotation schedule.

Responsibilities

Responds to emergency calls as a medical unit attendant or driver, performs necessary rescue work in accordance with established protocols for Basic and Advanced Life Support; administers necessary emergency medical care requiring the use of suction units, immobilization equipment, intravenous infusions, syringes and medications, and cardiac monitors / defibrillator / pacers, and performance of intubations / advanced airway management.

Paramedic trained in approved programs, certified by the Board of Medical Examiners to perform medical actions, and function in an approved mobile intensive care program may do any of the following in accordance with protocols established by their sponsor hospital :

(A) While at the scene of a medical emergency and confronted by a serious or life-threatening clinical situation, if continual approval has been provided by the sponsoring Medical Director :

• Establish an intravenous or intraosseous line in a peripheral vein and administer any intravenous solution approved by the Board of Medical Examiners for use by Paramedics;
• Obtain blood for laboratory analysis;
• Administer parenterally, orally, sublingual, or topically any of the drugs approved by the Board of Medical Examiners for use by Paramedics;
• Perform pulmonary ventilation by means of an endotracheal tube and / or perform cricothyrotomy for relief of upper airway obstruction;
• Perform defibrillation or cardioversion;
• Use gas-powered or hand-powered nebulizers;
• Decompress a tension pneumothorax by use of a catheter-flutter-valve device;
• Use positive end expiratory pressure respirators;
• Perform gastric suction by intubations;
• Perform external cardiac pacing.
• Administration of whole blood.
• Performs other duties as assigned.

(B) When confronted with a pulse-less non-breathing patient, perform cardiopulmonary resuscitation, defibrillation, and pulmonary ventilation by means of endotracheal tube and administer appropriate cardiac drugs prior to contacting the sponsor hospital.

(C) Establish an intravenous or intraosseous line in a peripheral vein and administer any intravenous solution approved by the Board of Medical Examiners for use by Paramedics prior to contacting the sponsor hospital.

May perform any of the following procedures if allowed by the County Emergency Medical Services System in which they function : patient assessment; basic life support techniques in accordance with the American Heart Association or American Red Cross including airway management and cardiopulmonary resuscitation; oxygen administration; hemorrhage control; treatment for shock; bandaging and dressing soft tissue injuries; splinting fractures and dislocations; treatment of injuries to the head, face, eye, neck, and spine; treatment of injuries to the chest, abdomen and genitalia; provision of basic life support for medical injuries; assisting in normal and abnormal childbirth; treatment of injuries as a result of exposure to heat and cold; treatment of burns; lifting and moving patients for transfer to a medical facility; and extrication of patients from confined areas.

Knowledge, Skills, & Abilities

Required Minimum Education / Experience

Alexander County is a rewarding and supportive place to work!

We offer a full compensation package including quality benefits with flexible options to meet the needs of our employees and their families.

HEALTH CARE

Medical Insurance - Employee medical insurance is 100% paid provided wellness incentive requirements are met. Spouse and family coverage is available at employee expense per pay period :

Child : $69.23 Children : $207.69 Spouse : $230.77 Family : $392.31

Dental Insurance - Employee dental insurance is 100% paid. Spouse and family coverage is available at employee expense per pay period :

Child(ren) : $16.95 Spouse : $18.89 Family : $52.32

Vision Insurance - Employee vision insurance is 100% paid. Spouse and family coverage is available at employee expense per pay period :

Child(ren) : $3.86 Spouse : $3.48 Family : $7.50

WELLNESS

Health Clinic - Available to all County employees and dependents covered under the medical insurance plan. Covered visits include ear infections, colds, first aid, physicals, and other acute care needs.

Complementary Alternative Medicine (CAM) - The medical plan offers alternative therapies such as acupuncture, hypnotherapy, massage therapy, yoga, and others. Specific requirements must be met for partial reimbursement - refer to the employee guide for more information.

Employee Assistance Program (EAP) - Counseling services are available to all employees and dependents in the home. Services are provided in a private and confidential setting. The County provides coverage for the first five visits per year.

YMCA - No joining or monthly membership fees for eligible employees. Employees may opt to upgrade their membership to a family rate of $6.92 per pay period.

PureGrit Fitness - Discounted member fees for eligible employees with access to a weight room, unlimited classes, or a day pass.

WORK / LIFE BALANCE

Holidays - Twelve days of paid leave are provided throughout the year to eligible employees.

Sick Leave - Employees earn eight hours per month; EMS employees earn 11 hours per month.

Annual Leave - Employees earn prorated hours per month based upon years of service and hours worked.

Birth Month Leave : Employees will receive the equivalent hours of one regular workday added to their annual leave on the second day of their birth month.

Community Involvement Leave : Employees earn eight hours per calendar year, expiring on December 31.

Bereavement Leave : Employees are given 24 hours of paid leave to grieve the loss of an immediate family member.

Parental Leave : Eligible employees can request up to 6 weeks of paid leave per calendar year.

Discount Tickets - Discount tickets to various recreational venues including AMC Theaters, Carowinds, Tweetsie Railroad, Biltmore Estate, and others.

FINANCIAL STABILITY

NC Local Government Retirement System - The Local Governmental Employees' Retirement System (LGERS) is a defined benefit plan. Full-time and eligible part-time employees are automatically enrolled in the system. Employees contribute a mandatory, fixed 6% on a pre-tax basis. An employee is considered vested after five years of contributory service.

Life Insurance - $12,500 of Life and AD&D at no cost to the employee. Additional coverage is available at employee expense.

Longevity - After five (5) years of continuous full-time County service, employees receive an annual lump sum payment of 1.5% of their salary during their anniversary month. Moving forward, the amount increases by .10 per year based upon years of service.

401k and 457 Deferred Compensation - Contributions are available as an employee option.

Tuition Reimbursement : Employees who have completed their initial probationary period are eligible to participate in the tuition reimbursement program of up to $1,000 per semester in qualified expenses.

Supplemental Benefits - The County partners with Aflac, as an employee option, for additional supplemental benefits.

Local Government Federal Credit Union (CIVIC) - Memberships are available to County employees.

For additional details on benefits, please review the Alexander County policies at www.alexandercountync.gov or

contact the Human Resources Department at (828) 632-1132.