Revised Date: September 2009 Page: 1 of 3 POSITION SUMMARY: Reporting to the Field Supervisor, is responsible for responding to requests for ambulance service and delivering medical care to victims of accident/illness, ensuring safe transportation to receiving medical facilities, and assisting with the on-going care of the patient within the facility as may be required. Also participates in the ongoing maintenance of ambulance vehicles, equipment and stations, and other duties as may be prescribed by the Field Supervisor or Oxford County EMS. MINIMUM QUALIFICATIONS: Must maintain as a condition of employment: 1. All certification of employment as a primary care paramedic as determined under Ontario Regulation 257/00, Part III Qualifications of Emergency Medical Attendants and s, as may be amended from time to time. 2. Timely successful completion of all County Quality Assurance and Training Programs, and Core Training Programs (as determined by the Ministry of Health & Long Term Care). PRINCIPAL RESPONSIBILITIES: Every Primary Care will in accordance with County Policy and the Ambulance Act, and Regulations and Standards thereof, ensure the following: 1. Completion of all Ambulance Call Reports, Incident Reports, Vehicle Accident Reports and any other reports as may be specified by the County. 2. Provision of patient care is in accordance with the Basic Life Support Patient Care Standards and Advanced Life Support Patient Care Standards as may be appropriate. 3. Provision of controlled acts is in accordance with Base Hospital Protocol as determined by the Medical Director. 4. Ambulance and Emergency Response Vehicles will be maintained in a clean and sanitary condition, and proper working order. 5. Patient care equipment will be maintained in a clean and sanitary condition, and proper working order. 6. Ambulance patient care compartments and all equipment used is properly cleaned after
Revised Date: September 2009 Page: 2 of 3 each ambulance call. 7. Each Ambulance or Emergency Response Unit is properly stocked with patient care equipment and accessory equipment after each ambulance call. 8. Safe transportation of patients and other passengers in the Ambulance or Emergency Response Unit. 9. Advising CACC of the availability of their vehicle within the ambulance service. 10. Each movement of the Ambulance or Emergency Response Unit is immediately reported to CACC. 11. CACC is immediately notified whenever their Ambulance or Emergency Response Unit is removed from service. 12. The driver of an ambulance transports the patient to a facility as directed by a communications officer. 13. A strong working knowledge of the geographical service area including, but not limited to; Public Institutions, Civic Addressing Systems, Health Care Facilities and a knowledge of the utilization of geographical information resources. 14. Proper utilization of ambulance communication equipment and procedures for their use. 15. Observance of Occupational Health and Safety Practices in all facets of ambulance operations. 16. Participation and completion of all vehicle, and base, cleaning and maintenance programs as directed by policy or management. 17. Participate and assist in the observation, instruction and training of paramedic students, and other persons or observers, as may be approved by the County. 18. Ensure an understanding and adherence to all relevant legislation, regulation, standards, policy and procedures as may be amended from time to time. Part III Physical Demands 1. Every Primary Care will maintain his/her physical condition in a manner that
Revised Date: September 2009 Page: 3 of 3 promotes their personal health and allows them to perform at a minimum the activities as outlined in the attached physical demands analysis. 2. Fine motor dexterity to apply patient care equipment/devices properly with ease. 3. Be able to work rotating shift patterns without deficiency in required performance of essential duties and responsibilities as contained in Part II. Part IV Professional Conduct Every Primary Care will achieve a high level of professional conduct and integrity by adhering to the following: 1. Performing all assignments with a high degree of accuracy, and complete all assignments promptly and efficiently. 2. Perform any appropriate additional tasks assigned by management without delay and in accordance with the directions given by management. 3. Treat all patients, family members and bystanders with respect, dignity and compassion. 4. Interact with all allied health or other agency personnel with professionalism, understanding and courtesy. 5. Be respectful of, and supportive of the County s financial, operational and quality assurance mandates. 6. Be respectful of, and encourage other employees to meet the highest standard of professionalism and conduct in their activities. 7. Maintain a safe and healthy work environment. 8. Maintain a high standard of professional and ethical conduct in their private lives while an employee of the County.
Pds_ County of Oxford EMS Revised January 14/09 Page 12 of 13 Summary of Physical Requirements: PARAMEDIC (Primary Care ) NEVER Table 1a: Physical Demand Levels (Based on Dictionary of Occupational Titles - Volume II, Fourth Edition, Revised 1991) RARE <5% of the workday up to 1 lift per 30 minutes RARE/OCCASIONAL up to 1 lift per 10 minutes OCCASIONAL <33% of the workday (up to 2.5 hrs) up to 1 lift per 5 minutes OCCASIONAL/FREQUENT up to 1 lift per minutes FREQUENT 34-66% of the workday (2.6 to 5.25 hrs) up to 4 lifts per minute FREQUENT/CONSTANT up to 6 lift per minute CONSTANT 67-100% of the workday (>5.25 hrs) >6 lifts minute PHYSICAL DEMAND LEVEL Table 1b: Weight Category Definitions (Based on Dictionary of Occupational Titles - Volume II, Fourth Edition, Revised 1991) RARE RARE_OCC / OCCASIONAL OCCASIONAL_FREQ/ FREQUENT FREQUENT_CON/ CONSTANT Sedentary < 20 lbs 1 10 lbs Negligible Negligible Sedentary Light 21 30 lbs 11 15 lbs 1 5 lbs Negligible Light 21 40 lbs 11 20 lbs 1 10 lbs Negligible Light Medium 41 75 lbs 21 38 lbs 11 17 lbs 1 5 lbs Medium 41 100 lbs 21 50 lbs 11 25 lbs 1 10 lbs Medium Heavy 101 150 lbs 51 75 lbs 26 37.5 lbs 11 15 lbs Heavy 101 200 lbs 51 100 lbs 26 50 lbs 11 20 lbs Very Heavy > 200 lbs > 100 lbs > 50 lbs > 20 lbs Table 2 Repeated and Static Postures and Mobility Activity Frequency Time in Posture Description REACHING BELOW >3 min SHOULDER driving, cleaning ambulance. REACHING ABOVE Cleaning ambulance, handling patients, retrieving Rare >75 sec SHOULDER and replacing from upper compartments. STOOPING cleaning ambulance, carrying stair chair at top BENDING cleaning ambulance, carrying stair chair at top CROUCHING cleaning ambulance, lifting bottom of stair chair. TWISTING <60 sec cleaning ambulance KNEELING >2 min Administering medical assistance STANDING consistently moving around cleaning ambulance CLIMBING Transferring patients up/down stairs, ascending and Rare to flights of steps descending staircases during calls; getting into and out of ambulance HANDLING <60 sec Administering medical assistance, handling FINGERING <30 sec patients, squeezing stretcher trigger Administering medical assistance, filling out paperwork Ability Works Consulting Inc. 519.438.8165
Pds_ County of Oxford EMS Revised January 14/09 Page 13 of 13 The following table is a summary of the requirements with respect to occasional lifting capacity. lifting capacity refers to lifting requirements of less than 33 % of the total workday. Please note that this does not equate to 2.5 hours of constant lifting. In order for lifts to be considered occasional, the cadence (frequency) must be less than 1 lift every 5 minutes. Table 3 Maximum Exertions Vertical Height Requirement Description Above Shoulder: Not typically required but a balanced proportion based upon required 80 LB (Rare) (height > 54 in) leg strength and may reduce impairments Manipulating a patient on a spineboard in a confined space and Chest to Shoulder: 53 LB (Rare) through a doorway or over a stair railing in a residential home with (height 50-54 in) additional help. Waist to Chest: Sheet transfer of patients, tilt lift of a spineboard, manipulating patient 79 LB (Rare) (height 41 49 in) transfer utilities Knuckle to Waist: 190 LB (Rare) Lifting stretcher with a patient (height 26 40 in) Floor to Knuckle: Lifting backboard or scoop stretcher from ground or stair chair at 138 LB (Rare) (height 0 25 in) lower side on level ground Stooping: (height < 35 in) Pushing Pulling Walking with Weight (height 30 42 in) One sided Carry: (height >25 in) 148.5 LB (Rare) 20 LB () 50 LB (Rare) Postural support for head paramedic on stairchair, Concentric and eccentric torso strength for blanket transfers Push force of stretcher with patient 96 LB (Rare) Blanket transfer with patient 148.5 LB [Max:183.5 LB] (Rare) 22 LB () Carrying a patient on stretcher over rough terrain, carrying a patient on a stairchair or backboard with an average distance of 24 ft but up to 100 ft Single handed carrying bags or defibrillator The following table identifies maximum occupational requirements for complex and dynamic or repetitious essential job tasks. Job demands are categorized by weights and frequencies based upon Dictionary of Occupational Titles (DOT) Characteristics of Work and represented as usual and maximum requirements with the associated frequency in (brackets). Table 4 Maximum Occupational Exertions Vertical Height Requirement Maximum Description Above Shoulder: (height > 54 in) - - Knuckle to Shoulder: Driving particularly long duration when <5 LB Constant transferring patients between hospitals Floor to Knuckle: (height 0 30 in) Gripping Pinching - - 66 LB / hand () 2.5 LB / hand (Constant) - Driving ambulance, squeezing stretcher carriage release trigger, transferring patients using a blanket Administering medical assistance e.g. Squeezing breathing mask bulb Ability Works Consulting Inc. 519.438.8165