EMT B OR I

NAVAJO HEALTH FOUNDATION - SAGE MEMORIAL HOSPITAL, INC.•Ganado, AZ

6d•Onsite

About The Position

Under the direct supervision of the Emergency Department Medical Director, the EMT-B/I (Basic or Intermediate) provides basic emergency medical care to ill and injured patients, assists with preparation for transport and transfer of information, and supports patient care. During non-transport periods, the EMT-B/I serves as an additional hospital resource. During working hours, the Emergency Department Charge Nurse on shift supervises the EMT-B/I and coordinates assignments and transport for the shift. For interfacility transports, the EMT-B/I reviews assignments with the Paramedic and confirms that staffing, authorized level of care, equipment, medications, oxygen supply, and transport resources meet anticipated patient needs. The EMT-B/I checks equipment before departure; monitors and reassesses patients as clinically indicated; maintains ordered therapies within authorized scope; recognizes deterioration and initiates approved emergency care; communicates with dispatch, care teams, medical control, receiving facilities, patients, and transport partners; and provides structured handoffs. After transport, the EMT-B/I completes documentation, reconciles medications and equipment, cleans and disinfects equipment, replenishes supplies, and helps ensure vehicle readiness. The EMT-B/I operates or rides in emergency vehicles safely and drives only when authorized and qualified. In the Emergency Department, the EMT-B/I assists nursing staff with delegated basic patient care, collects and records patient data and specimens, performs authorized monitoring and interventions, assists with emergency procedures and resuscitations, and supports patient mobility and personal care. The role also includes preparing treatment spaces, restocking supplies, checking emergency equipment, transporting patients within the facility, maintaining infection-prevention and safety practices, communicating respectfully while protecting patient privacy, and documenting care and handoffs. The EMT-B/I participates in competency validation, continuing education, drills, case reviews, quality improvement, safety reporting, and equipment or medication checks; reports errors, hazards, exposures, and unusual events; maintains knowledge of relevant policies and protocols; and performs other duties consistent with certification, competency, and organizational policy. Regular and reliable attendance and compliance with all policies and standards are required.

Requirements

High school diploma or equivalent.
Completion of an accredited Arizona Emergency Medical Technician – Basic or Intermediate education program.
Current, unrestricted Arizona State Emergency Medical Technician – Basic or Intermediate certification or licensure required by the jurisdiction of practice.
Current and active National Registry Emergency Medical Technician – Basic or Intermediate certification.
Current Basic Life Support (BLS), or ability to obtain it within 30 days of hire.
Current valid driver’s license and acceptable driving record when driving duties are assigned.
Provide a current MVD driving record history report for the last five years.
Successfully pass the DOT Physical requirement within 45 days of hire.
Obtain a Navajo Nation Vehicle Operator’s Permit within 45 days of hire.
Successfully complete an approved Emergency Vehicle Operator Course (CEVO/EVOC) within 45 days of hire.
Successfully pass Employee Health Program requirements and a background investigation.
Knowledge of patient assessment, emergency care, advanced life support, infection prevention, medication safety, and safe patient transport.
Ability to prioritize rapidly, recognize clinical deterioration, follow standing orders, obtain medical direction, and work effectively during emergencies.
Effective verbal, written, radio, and electronic communication skills, including structured clinical handoffs.
Ability to collaborate while understanding role boundaries, delegation, supervision, and chains of command.
Commitment to trauma-informed, culturally responsive, equitable, and patient-centered care.
Ability to maintain confidentiality and use sound judgment with protected health information.
Ability to meet the position’s physical demands, including frequent standing, walking, bending, reaching, pushing, pulling, crawling, stooping, and kneeling; manual dexterity for clinical procedures; effective communication in noisy or confined environments; and lifting or moving patients or equipment using approved techniques and assistive devices.
Ability to work in conditions that may involve exposure to blood and body fluids, infectious disease, hazardous medications or materials, combative behavior, traumatic events, extreme weather, temperature variation, roadway hazards, vehicle motion, and irregular or prolonged shifts.

Nice To Haves

One or more years of recent EMT-B/I experience in a high-acuity 911, emergency department, critical access, rural, or interfacility transport setting.
Emergency pediatric, trauma, transport, or other relevant specialty education.
Experience with electronic health records, electronic patient care reports, cardiac monitors, infusion devices, and transport ventilatory equipment within validated competency.

Responsibilities

Review interfacility transport assignments with the Paramedic and confirm that authorized care level, staffing, equipment, medications, oxygen, and transport resources meet anticipated patient needs; escalate mismatches before assuming care.
Check monitors, oxygen systems, airway equipment, infusions, medications, stretcher restraints, and other equipment before departure.
Monitor and reassess patients during transport, maintain ordered therapies within authorized scope, and document condition, interventions, and response as ordered.
Recognize deterioration, initiate approved emergency care, obtain online medical direction when indicated, and redirect to an appropriate facility when required by the patient’s condition and protocol.
Communicate with dispatch, sending teams, medical control, receiving facilities, patients, and transport partners.
Provide structured bedside handoffs and transfer required records, belongings, and responsibility for care to authorized receiving personnel.
Complete transport documentation, medication and equipment reconciliation, cleaning and disinfection, supply replacement, and vehicle readiness activities after transports.
Operate or ride in emergency vehicles safely and comply with seatbelt, lifting, securement, traffic-safety, and fatigue-management requirements; drive only when authorized and qualified.
Collect urine and stool samples and perform finger-stick blood glucose monitoring; document and report results to the Emergency Department RN.
Provide authorized care in accordance with applicable law, medical direction, organizational policy, and department protocols, and perform only skills for which currently credentialed and competent.
Communicate patient information effectively, adapt to change, and maintain professionalism.
Maintain a clean, neat, and safe environment and follow infection-control and safety protocols, including appropriate PPE use.
Participate in performance improvement initiatives, risk-management reporting, and compliance with National Patient Safety Goals and Core Measures.
Initiate and maintain approved monitoring and interventions within EMT-B/I scope, which may include assisting with cardiac monitoring, 12-lead ECGs, oxygen therapy, vascular access, specimen collection, medication administration, airway support, immobilization, hemorrhage control, and resuscitation.
Assist nursing staff with delegated basic patient care and maintaining a clean, safe, and organized environment.
Collect and record patient data, including vital signs, height, weight, oxygen saturation, and intake/output, and report findings to the Emergency Department RN.
Assist patients with meals, feeding, bathing, oral care, grooming, linen changes, skin care, elimination assistance, and urinary catheter care.
Assist with patient positioning, repositioning, dangling, ambulating, and use of mobility aids such as walkers, crutches, canes, and wheelchairs.
Assist with emergency procedures within scope, trauma and medical resuscitations, patient movement, splinting, wound care, equipment setup, and other delegated clinical activities.
Promptly report changes in patient condition.
Support patient flow by preparing treatment spaces, restocking supplies, checking emergency equipment, transporting patients within the facility, and completing environmental readiness tasks.
Use standard and transmission-based precautions and appropriate PPE; follow exposure-control and infection-prevention requirements.
Provide respectful communication, age-appropriate care, and clear explanations while protecting privacy and confidentiality.
Maintain continuous visual observation of patients when required and remain with them unless relieved by appropriate personnel.
Document care and handoffs within required timeframes.
Participate in competency validation, continuing education, drills, case review, quality improvement, safety reporting, and equipment or medication checks.
Report errors, near misses, hazards, equipment failures, exposures, injuries, and unusual events through established channels.
Maintain current knowledge of department policies, EMS protocols, medication requirements, transfer procedures, and emergency-preparedness responsibilities.
Demonstrate professional conduct, teamwork, situational awareness, accountability, and respectful communication in high-stress environments.
Perform other duties consistent with certification, competency, and organizational policy as assigned.
Maintain regular and reliable attendance and comply with all policies and standards.