EMT - Advanced at Richmond Ambulance Authority

NEW FULL-TIME RATES 

$24.00 an hour with no experience (Annualized $53,664)

POSITION SUMMARY

The Emergency Medical Technician – Advanced is an integral member of RAA’s Field Operations, delivering expert basic and advanced life support across both 9-1-1 and scheduled transport missions. Reporting to the Field Operations Lieutenant, the AEMT ensures vehicle and equipment readiness through EVOC-certified operations and rigorous inspections. Operating under Virginia AEMT scope and RAA protocols, the AEMT performs comprehensive patient assessment, protocol-driven interventions, and safe stretcher and powered-lift techniques.  The AEMT functions seamlessly within the Incident Command System during large-scale incidents. Committed to continuous quality improvement.  The AEMT maintains accurate and timely documentation of patient care and CAD updates, participates in data-driven peer reviews, and upholds HIPAA, OSHA, and agency safety standards while consistently demonstrating exemplary professional conduct, including proper uniform appearance, patient confidentiality, and culturally competent, unbiased care on every call.

POSITION DUTIES AND RESPONSIBILITIES

Common Responsibilities

• Ensure vehicle and equipment readiness through daily inspections and EVOC-certified operation
• Perform safe stretcher transfers and operate powered-lift devices to protect patient and provider safety
• Operate within the Virginia EMT-Advanced scope of practice and follow all agency protocols, SOPs, and HIPAA requirements
• Complete accurate and timely Patient Care Reports (PCRs) and update CAD statuses for all calls
• Complete and maintain required Bloodborne Pathogen and OSHA safety training, including annual refreshers
• Operate emergency warning devices (lights and sirens) in compliance with agency policy and state law
• Demonstrate professional conduct, respectful communication, and unbiased care for all patients
• Account for medications in accordance with RAA policy and Virginia Board of Pharmacy regulations
• Report equipment malfunctions, safety hazards, or unusual incidents immediately to the Field Operations Lieutenant
• Participate in quality assurance reviews and Continuous Quality Improvement initiatives
• Commit to ongoing professional development by fulfilling continuing education and internal skill-maintenance requirements

Advanced Clinical Responsibilities

• Establish and maintain peripheral IV or intraosseous lines; administer crystalloid fluid boluses per standing orders.
• Place and secure supraglottic airway devices and confirm placement with capnography.
• Initiate and titrate CPAP therapy for patients in respiratory distress; monitor respiratory status and oxygen saturation.
• Deliver defibrillation for ventricular fibrillation or pulseless ventricular tachycardia according to protocol.
• Obtain 12-lead ECGs, recognize critical patterns (e.g., STEMI), and transmit findings to medical control or receiving facilities.
• Administer and titrate approved medications per protocol.
• Any other clinical treatments as approved for the AEMT level by the Chief Clinical Officer or their designee

Patient Advocacy & Community Interaction

• Serve as a patient advocate, ensuring rights and dignity are upheld
• Builds positive relationships with transport partners and care facilities
• Participate in community outreach, health education, and public safety events representing RAA

DUTY ASSIGNMENT

All EMT’s at Richmond Ambulance Authority declare their status as either emergent or non-emergent at the time of hire or through a status change request for existing employees.  Every effort is made to align the employee with their selection based on available vacancies and budgetary constraints.

Emergent (911 System Response): Primarily assigned to emergent duties; will occasionally perform non-emergent scheduled transport duties as needed.

• Respond promptly and safely to emergency calls, following traffic and safety laws
• Apply ICS principles: take direction from the Incident Commander and communicate patient priorities
• Conduct patient assessments and provide BLS and ALS interventions
• Supervise clinical care and treatment during extrication or rescue operations conducted by fire department personnel
• Coordinate the delivery of care within the BLS/ALS scope of practice in conjunction with other EMS providers (EMT-Basic, EMT-Intermediate, and EMT-Paramedics) as needed
• Maintain situational awareness of system threats (e.g., weather, diversions, facility delays) and notify supervisor of persistent system inefficiencies
• Emergent EMTs will occasionally perform non-emergent scheduled transport duties and emergent facility transfers as necessary and in the best interest of the EMS system

Non-Emergent (Scheduled Transport): Assigned solely to non-emergent transports; will perform emergent duties only when the High-Incident Response plan is activated or during a declared MCI.

• Execute pre-planned transport assignments between care facilities or for patients being discharged from the hospital in coordination with the Communications Center
• Conducts patient assessments and provides necessary interventions and monitoring of patients while en route in accordance with standing protocol and physician orders
• Assist stable patients with ambulation, transfer to stretcher, and secure them for transport
• Coordinate timely arrival/departure from healthcare facilities per schedule
• Document response exceptions and escalate patterns of inefficiency to the Field Operations Lieutenant

MINIMUM REQUIREMENTS

Minimum Qualifications:

• High school diploma or GED
• Certified Advanced EMT in the Commonwealth of Virginia and current CPR Provider card 
• Valid Virginia driver’s license with acceptable driving record
• Completion of FEMA ICS 100, 200, 700, and 800
• Strong communication, teamwork, and decision-making skills 

Preferred Qualifications:

• At least one year experience as an AEMT in a high-volume EMS system (emergent or non-emergent)
• Familiarity with ePCR platforms and CAD systems

PHYSICAL DEMANDS

• Must be able to sit and or stand for long periods. 
• Must be able to lift up to at least 50 pounds independently and 150 pounds with assistance
• Must have substantial movements of the body, wrists, hands, and or fingers. 
• Must be able to work in various environmental conditions as well as temperature changes. 
• Required to have visual acuity to operate motor vehicles and or equipment.   
• Must be able to perceive the nature of sounds at normal speaking levels with or without correction and receive detailed information through oral communication.

PERFORMANCE EVALUATION

AEMTs are evaluated bi-annually by the Field Operations Captain or Lieutenant on clinical performance, protocol adherence, documentation accuracy, professionalism, operational efficiency, and participation in QA activities.

CONDITIONS OF EMPLOYMENT

• Subject to pre-employment and random drug screening, fingerprint and background checks, and physical abilities testing
• Must complete all onboarding and clinical clearance requirements within four (4) months of hire
• Must maintain all required licenses and certifications as a condition of continued employment
• Comply with all legally mandated vaccinations and health screenings required for healthcare providers under federal, state, or local regulations
• Required to work rotating shifts, including nights, weekends, holidays, and overtime as needed
• Must comply with DMAS and RAA driving standards and maintain DMV eligibility
• Must adhere to agency confidentiality policies and ensure security of protected health information (PHI) in compliance with applicable federal and state laws