Paramedic

Sacramento Metropolitan Fire District • Sacramento, CA

12d • Onsite

About The Position

Under the direction of an assigned Captain/Supervisor, the Paramedic provides ambulance transport services as a member of the Sacramento Metropolitan Fire District. The position performs a full range of emergency medical services and requires regular, reliable attendance. Duties include assessing and treating patients, providing basic and advanced life support, transporting patients, maintaining equipment and vehicles, documenting care and billing information, and complying with applicable laws, protocols, and District policies.

The position requires a current California EMT-P license or greater, a current CPR card, and Sacramento County Emergency Medical Agency EMT-P accreditation before completion of the academy. Employment is contingent upon successfully completing a background check and physical, including a drug screen. A current, valid California Class C driver's license must be maintained as a condition of employment.

The work involves emergency scenes and physically demanding conditions, including exposure to the elements, hazardous surfaces, infectious agents, hazardous substances, traumatic scenes, and confined spaces. Paramedics must wear designated protective equipment, sustain physical activity and concentration for extended periods, and make rapid decisions in potentially life-threatening situations. The 27-1 MMP Academy is tentatively scheduled to start March 22, 2027; interviews are tentatively scheduled for December 1 and 2, 2026, and mandatory background orientation is scheduled for December 9, 2026.

Requirements

• Must be at least 18 years old.
• High school diploma or equivalent.
• Possession of and ability to maintain a current California EMT-P license or higher and a current CPR card.
• Must be accredited as an EMT-P by the Sacramento County Emergency Medical Agency before completing the academy.
• Possession of and ability to maintain a current, valid California Class C driver's license as a condition of employment.
• Must successfully complete a background check and a physical examination, including a drug screen, for an offer of employment.
• Must meet the physical abilities and stamina required for the position's essential functions.
• Work experience on a transporting ambulance is highly desirable.

Nice To Haves

• Work experience on a transporting ambulance.

Responsibilities

• Operate District-owned ambulances and other District vehicles, including driving to and from medical emergencies as part of the ambulance transportation team.
• Evaluate ill and injured patients and document findings and actions in patient care reports.
• Provide basic and advanced life support, rescue, and first aid.
• Obtain and document diagnostic signs, including temperature, blood pressure, pulse and respiration rates, level of consciousness, pupil status, and electrocardiogram interpretations.
• Perform cardiopulmonary resuscitation, including use of mechanical adjuncts and manual or automated external defibrillators.
• Use airway, breathing, oxygen-delivery, suction, and ventilation equipment, including oropharyngeal and nasopharyngeal airways, advanced airways, waveform capnography, and manual or mechanical ventilating devices.
• Use stretchers and body immobilization devices.
• Provide initial pre-hospital emergency care for trauma and perform basic field triage.
• Transport patients and manage them within the Paramedic's scope of practice.
• Administer emergency medications in accordance with Sacramento County EMS Protocols.
• Lift patients into ambulances on a gurney.
• Contact base hospitals and obtain direction regarding patient care.
• Clean and decontaminate ambulances and EMS equipment.
• Collect and document patient billing information in accordance with District policy.
• Maintain and restock ambulance and station EMS supplies through logistics orders.
• Perform preventive maintenance inspections on assigned apparatus.
• Follow applicable Federal, State, County, Local, and District laws, regulations, protocols, and policies, including HIPAA.
• Attend and successfully complete District and hospital training sessions and drills.
• Help oversee the operational readiness and cleanliness of apparatus and equipment.
• Perform other duties as directed by District staff in accordance with the chain of command.

Benefits

• CalPERS Safety retirement: Classic employee 3% at 50; PEPRA employee 2.7% at 57.
• CalPERS health insurance with a variety of HMO and PPO plans; the District contributes 92% of the health plan premium and the employee pays the remaining 8%.
• Dental and vision insurance paid by the District.
• Life insurance of $20,000 during the first probationary year and $100,000 thereafter.
• Vacation leave of 11.90 to 23.80 hours per month, depending on years of service.
• Sick leave of 20 hours per month.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED