Advanced EMT

Lancaster County is a county-based ALS emergency medical service with 8 stations and 9 ALS units, 2 QRVs, and 4 12-hour units. Our annual call volume exceeds 20,300 calls. The current shift schedule is 24/48, transitioning to 24/72 in January. State benefits, including state retirement, are offered.

About the role

Advanced Emergency Medical Technicians (AEMTs) provide high-quality prehospital care and safe transportation to the sick and injured in accordance with South Carolina DPH protocols, Lancaster County EMS Protocols and Policies, and National Registry certification. AEMTs work in high-pressure, unpredictable environments to deliver immediate care.

Responsibilities

• Respond to 911 calls and provide basic and limited ALS interventions to patients.
• Perform patient assessments and determine appropriate treatment pathways based on Lancaster County EMS and SC State protocols.
• Administer approved medications per Lancaster County and SC AEMT protocols.
• Establish IV/IO access for fluid and medication administration.
• Assist paramedics with ALS procedures outside the AEMT scope.
• Safely operate emergency vehicles according to Lancaster County EMS, state, and local regulations (CEVO/EVOC Certification required).
• Document patient assessments, treatments, and transport information accurately and timely using ESO.
• Maintain cleanliness, readiness, and inventory of the ambulance and equipment.
• Communicate effectively with dispatch, hospitals, and other first responders.
• Provide compassionate, professional patient care during high-stress situations.
• Participate in required training, continuing education, and quality improvement activities.

Requirements

• Current South Carolina AEMT certification.
• Current National Registry AEMT (NREMT).
• Strong knowledge of SC EMS protocols and AEMT scope of practice.
• Valid SC driver’s license and acceptable 10-year driving record.
• CPR/BLS AHA certification.
• CEVO/EVOC certification.
• NIMS and Hazmat certification.
• Ability to pass a criminal background check.
• Strong communication and teamwork skills.
• Ability to work rotating shifts of 24/48 (transitioning to 24/72), including weekends and holidays.

Physical Demands

• Required heavy lifting, pulling, pushing, bending, stooping, and crawling.
• Long and irregular hours: 24-hour shifts or longer, including overtime, weekends, holidays, disrupted sleep, and eating patterns.
• Ability to lift and move patients/equipment (commonly 100+ lbs with assistance).
• Exposure to infectious diseases, illness, trauma, hazardous situations, and all weather types.
• Fast-paced, high-stress environment.

Benefits

• State benefits, including state retirement.

Schedule

Rotating shifts of 24/48, transitioning to 24/72 in January. Includes weekends and holidays.