Fire Medic IV (Paramedic)

Under general supervision, the purpose of the position is to provide Emergency Medical Services (EMS), fire protection in emergency and non-emergency situations. Employees in this classification perform skilled work. Position is responsible for operating an approved mobile medical unit; rescuing victims; and performing advanced emergency care, including the administration of life sustaining treatment to patients on-site and while in route to the hospital. Performs related work as required.

• Responds to calls to provide emergency medical assistance to provide basic and advanced life support emergency medical care; drives ambulances in response to emergency calls and in the transport of patients to or from a medical facility; performs primary and secondary patient assessments; determines blood pressures, pulses, respiratory rates, capillary refill, and other vital signs; determines patients medical history, complaints, and symptoms; establishes and maintains open airways; ventilates non-breathing persons; administers cardio-pulmonary resuscitation to victims of cardiac arrest; operates a semi-automatic defibrillator and initiates delivery of shocks when prompted in accordance with local protocols; operates life support equipment.
• Provides advanced life support care to critical ambulance patients in accordance with regional and local medical protocols and/or on-line medical control; intubates patients requiring advanced airway management using endotracheal tube and/or IGel, starts intravenous lines and intravenous fluid therapy; administers drugs necessary for the treatment of acute medical conditions pursuant to physician orders; performs other advanced life support procedures upon approval and direction of medical director and/or hospital-based physician/medical control physician.
• Responds to fire alarms; drives fire apparatus and/or operates fire pumps; fights fires; performs rescues of persons trapped inside burning structures; lifts carries, drags, lays, and connects hose lines and appliances; assists in loading and unloading ladders; performs salvage and overhaul operations; directs traffic and establishes safety zones.
• Responds to incidents involving hazardous materials; initiates requests for appropriate assistance; may provide emergency decontamination and/or treatment to contaminated victims.
• Installs smoke detectors; performs pre-fire plans.
• Assists in planning, developing, and coordinating departmental training; performs physical fitness training; participates in a continuous training program to improve competence in firefighting, medical clinical work and in rescue vehicle service and operation; maintains knowledge of new or modified operational protocols and procedures; studies street and road patterns and networks of the County in order that future runs may be made with minimum difficulty and delay.
• Inspects and tests fire apparatus and ambulances and their emergency equipment; maintains proper inventory of equipment and supplies for County EMS and fire units; cleans and sanitizes equipment; ensures that equipment is in proper and good working order; makes routine adjustments and minor repairs/maintenance.
• Completes and maintains accurate records, forms, and reports for various administrative, operational, and training activities; may code, edit, and submit Virginia Fire Incident Reports and EMS Pre-hospital Patient Care Reports; prepares and/or types memorandums and general correspondence, forms, reports, and purchase orders; maintains files on personnel, equipment, and operations.
• Conducts station drills; attends multi-company drills.
• Observe all approved safety and health policies and procedures pertaining to his/her work activities and perform all work tasks in a safe and healthy manner in accordance with County policy.

• Observes all approved safety and health policies and procedures pertaining to an employees work activities and performs all work tasks in a safe and healthy manner in accordance with County policy.
• Performs other assigned duties.

PHYSICAL DEMANDS:
Tasks involve the ability to exert very heavy physical effort in very heavy work, typically involving some combination of climbing and balancing, stooping, kneeling, crouching, and crawling, and the lifting, carrying, pushing, and/or pulling of heavy objects and materials (up to 100 pounds) and occasionally very heavier items (100 pounds or over).

WORK ENVIRONMENT:
Tasks may risk exposure to adverse environmental conditions, such as dirt, dust, pollen, odors, wetness, humidity, rain, fumes, temperature and noise extremes, machinery, electric currents, traffic hazards, toxic agents, violence, disease, or pathogenic substances. MINIMUM REQUIREMENTS TO PERFORM WORK:

• High School Diploma or equivalent
• One to Two (1-2) years of related work experience; preferred

• Supplemented by vocational/technical training in emergency medical services, firefighting.

LICENSES/CERTIFICATIONS:

• Driver's License valid in the Commonwealth of Virginia.
• Certification as a Paramedic by the Virginia Department of Health, Division of Emergency Medical Services
• CPR, Hazardous Materials - Awareness/Operations, and EVOC
• Released (within 3 months of hire) and meet all certification requirements to practice as an ALS provider per the Countys Operational Medical Director.
• Certification as a Firefighter II by the Virginia Department of Fire Programs
• Successful completion of designated NIMS compliant Incident Command System courses (NIMS:ICS 100.200,700,800).
• Satisfactory completion of a criminal background check and DMV records check prior to employment.

• Successful passing of the NFPA 1582 medical exam as part of a conditional offer of employment.

Position available July 1, 2026
Join our award-winning team! Isle of Wight Fire Rescue was awarded the TEMS Outstanding EMS Agency 2025 and the Peer Support/ Community Champion for Care Award 2025 If applicable, certification pay of $7,000 annually is provided for certified Paramedics in addition to the base salary of $65,000. Please Note: All County employees may be required to report to serve our customers during emergency conditions. While some will perform their regular duties, others may be assigned to report at a different time and location and to perform different duties from their regular jobs. Employees will either be deemed essential personnel and provide services that must continue regardless of or pursuant to a state of emergency or will be deemed nonessential personnel that will be required to report to work in an emergency if they receive an assignment to shelter duty or other duty.