EMT Advanced

Responsibilities

• Provide supervision and technical medical support in the operational readiness of all EMS system responders with lesser certification.
• Responsible for the response and transport of emergency and non-emergency patients to appropriate medical facilities for the countywide Emergency Medical Services System.
• Respond to and assist units that are lower certified and are requesting assistance.
• Direct emergency medical personnel at or below the EMT-Paramedic level in the delivery of patient care.
• Follow and ensure compliance with GEMS Standard Operating Procedures, GEMS Medical Protocols, and NCOEMS Regulations, specifically in the areas of patient care and transportation.
• Complete Patient Care Reports ensuring accuracy and supporting documentation is attached.
• Ensure unit is clean, stocked and in a maximum state of readiness at all times.
• In the absence of a supervisor or other more senior medic, provide scene direction and coordination of EMS Operations when responding to a scene, with the ability to assume direct coordination or command of EMS Operations as needed.

Minimum Qualifications

• Graduation from an accredited college or university with a valid NC EMT Advanced or National Registry AEMT Certificate.
• Current PHTLS and CPR certifications.
• Valid driver's license with 3 or fewer points on driving record.
• Experience and training in responding to and controlling hazardous material incidents.
• Preferred NRAEMT certification.
• Candidates selected will undergo a background check and must pass a drug screening test prior to employment.

Pay

Starting hourly rate: $22.45.

Lateral Entry Incentive: Any full-time Law Enforcement Officer, Detention Officer, Public Health Nurse, EMT or Paramedic hired into Gaston County's Public Safety or Health Departments (Police, Sheriff, GEMS, Public Health) after 7/1/2026 with at least two years of full-time law enforcement, EMT/Paramedic, or professional nursing experience will receive lateral entry incentive pay in two installments. The first installment is issued upon completion of 6 months of continued service; the second after an additional year of service. Amounts: $3,000 for EMTs and Public Health Nurses (two installments of $1,500); $4,000 for Detention Officers and Paramedics (two installments of $2,000); $5,000 for Police Officers and Deputy Sheriffs (two installments of $2,500).

Schedule

New employees are likely to be scheduled to work night shift upon hire. They may request ADA accommodations based on need after hire and can participate in an annual shift bid process.