Proposed Scheme of Service For EMTs in Kenya

“A CENTRE OF EXCELLENCE IN EMERGENCY MEDICAL SERVICES.
OUR REF: KEMS/EMT.SOS/ VOL. VIII (001) DATE: 03RD AUGUST, 2018
To whom it may concern.
RE: PROPOSED SCHEME OF SERVICE FOR EMERGENCY MEDICAL TECHNICIANS IN KENYA.
Knights Emergency Medical Services is the premier and leading non-profit Emergency Medical Services consulting
service provider in Kenya. Our goal is to become a global centre of excellence that promotes personal empowerment,
professional development, business growth, capacity building and technical assistance in Emergency Medical Services.
We are pleased to inform you that the we have developed a proposed Scheme of Service for Emergency Medical
Technicians which forms an appendix to this letter. The Scheme of Service has been finalized and is ready for adoption
and implementation.
The proposed Scheme of Service establishes four (4) grades of Emergency Medical Technician - Basic, six (6) grades of
Emergency Medical Technician - Advanced, and eight (8) grades of Emergency Medical Technician - Paramedic and
provides clear and concise job descriptions and specifications at all levels within the grading structure. Provision of
these details will no doubt greatly assist in the recruitment, deployment, retention and general development of the
Emergency Medical Services Function in Kenya.
We look forward to your consideration and implementation of this Scheme of Service.
With kind regards;
BRIAN BEAUTTAH MIGIRO

+254 711 455 149; Consultancy.beauttah@gmail.com
EXECUTIVE DIRECTOR
KNIGHTS EMERGENCY MEDICAL SERVICES
Nairobi County | University Way | Kampus Towers| EMS System Consulting | EMS Legal Compliance & Dispute Resolution | EMS Employment & Labour Relations |
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REPUBLIC OF KENYA
Scheme of Service
for
Emergency Medical Technicians
August, 2018.
TO BE APPROVED BY THE PUBLIC SERVICE COMMISSION

AND
TO BE ISSUED BY THE DIRECTORATE OF PUBLIC SERVICE MANAGEMENT
SCHEME OF SERVICE FOR EMERGENCY MEDICAL TECHNICIANS, 2018.
1. AIMS AND OBJECTIVES

1.1. To provide for a clearly defined career structure which will attract, motivate and facilitate retention of suitably
qualified Emergency Medical Technicians in the Civil Service.
1.2. To provide for clearly defined job descriptions and specifications with clear delineation of duties and
responsibilities at all levels within the career structure which will ensure proper deployment and utilization of
Emergency Medical Technicians and to enable them understand the requirements and demands of their job.
1.3. To establish standards for recruitment, training and advancement within the career structure on the basis of
qualifications, knowledge, competence, merit and ability as reflected in work performance and results.
1.4. To ensure appropriate career planning and succession management.
2. ADMINISTRATION AND TRAINING SCOPE OF THE SCHEME

2.1. Responsibility for Administration
The Scheme of Service will be administered by the Principal Secretary, Ministry of Health in conjunction with the
Public Service Commission of Kenya and in consultation with the Permanent Secretary, State Department of
Public Service and Youth as well as the Salaries and Remuneration Commission. In administering the Scheme, the
Principal Secretary will ensure that its provisions are strictly observed for fair and equitable treatment of officers
and that officers are confirmed in their appointment on successful completion of the probation period. However,
in order to maintain standards in the profession, the provisions of the scheme may be applied by the County
Governments as appropriate.
2.2. Training Scope
In administering the Scheme, the Principal Secretary will ensure that appropriate induction, training
opportunities and facilities are provided to both entrants into the Scheme and serving officers in order to meet
the requirements prescribed by the Scheme. In particular, the Principal Secretary will ensure that serving officers
acquire necessary qualifications / specialization and experience required for both efficient performance of their
duties and advancement within the career structure. In addition, the Principal Secretary will ensure that all new
entrants into the Scheme undergo appropriate induction, coaching and mentoring. Officers should also be
encouraged to undertake training privately for self development. However, in all matters of training, the Principal
Secretary administering the Scheme will consult with the Public Service Commission of Kenya and the Permanent
Secretary, State Department of Public Service.
3. EMERGENCY MEDICAL SERVICES FUNCTION / SCOPE OF PRACTICE

The Emergency Medical Services function entails: emergency, urgent and non-emergency response to medical cases in
pre-hospital and out-of-hospital settings for all patients with minor injuries and illnesses as well as major trauma and
severe medical conditions. The Emergency Medical Services process involves a timely access to patients, rescue /
extrication, patient assessment, diagnosis, stabilization, emergency medical treatment, transport / specialized retrieval
to definitive care facilities and inter-facility medical transfers / referrals. Moreover, Emergency Medical Technicians offer
“Stand By” services at mass gatherings, high risk activities and remote environments away from definitive care centres
like hospitals.
Emergency Medical Technicians further provide technical advice and emergency medical care in various areas of
specialization that include but are not limited to Basic and Advanced Airway Management, Basic and Advanced Life
Support, Management of Obstetric and Gynecological Emergencies, Environmental Emergencies, Psychiatric and
Behavioral Emergencies, Circulatory Emergencies, Endocrine Emergencies, Neurological Emergencies, Geriatric,
Bariatric and Pediatric Emergencies, Musculo-skeletal Emergencies, Intravenous Therapy, Administration of Medication
(Pharmacological Interventions), Ambulance Operations (including Emergency Vehicle Operations and Emergency
Medical Dispatch), Disaster and Public Health Incident Management (using Incident Command System principles) as well
as Emergency Medical Leadership and Management.
More still, the Emergency Medical Services function entails the implementation of the Emergency Medical Care Policy,
2018 - 2030, formulation, implementation, review and interpretation of Emergency Medical Services legislation and
policies, standards, protocols, standard operating procedures, curricula, syllabi, guidelines and programs; management
and coordination of ambulance services at all levels; working with other members of the healthcare team in conducting
all health interventions; maintaining healthcare records and confidentiality of information relating to patients; provision
of safe patient care in a conducive environment; educating, training and mentoring of students both in clinical areas and
community services; referring patients to appropriate health facilities; referring experts, specimen and organs to
designated facilities; conducting research, quality assurance and improvement; and coordinating Emergency Medical
Services initiatives.
4. GRADING STRUCTURE
4.1. The Grading Structure
The Scheme of Service establishes four (4) grades of Emergency Medical Technician - Basic, six (6) grades of Emergency
Medical Technician - Advanced, and eight (8) grades of Emergency Medical Technician - Paramedic who will be
designated and graded as follows:-
EMERGENCY MEDICAL TECHNICIANS - BASIC : APPENDIX A
New Designation Job Group
Emergency Medical Technician - Basic III ‘G’
Emergency Medical Technician - Basic II ‘H’
Emergency Medical Technician - Basic I ‘J’
Senior Emergency Medical Technician - Basic ‘K’
EMERGENCY MEDICAL TECHNICIANS - ADVANCED : APPENDIX B
Emergency Medical Technician - Advanced III ‘H’
Emergency Medical Technician - Advanced II ‘J’
Emergency Medical Technician - Advanced I ‘K’
Senior Emergency Medical Technician - Advanced ‘L’
Chief Emergency Medical Technician - Advanced ‘M’
Principal Emergency Medical Technician - Advanced ‘N’
EMERGENCY MEDICAL TECHNICIANS - PARAMEDIC : APPENDIX C
Emergency Medical Technician - Paramedic I ‘K’
Senior Emergency Medical Technician - Paramedic ‘L’
Chief Emergency Medical Technician - Paramedic ‘M’
Principal Emergency Medical Technician - Paramedic ‘N’
Assistant Director of Emergency Medical Services ‘P’
Senior Assistant Director of Emergency Medical Services ‘Q’
Deputy Director of Emergency Medical Services ‘R’
Director of Emergency Medical Services ‘S’
Note:
i. The grades of Emergency Medical Technician - Basic III/II/I/Senior, Job Groups, ‘G/H/J/K', for Certificate holders;
Emergency Medical Technician - Advanced III/II/I/Senior/Chief/Principal, Job Groups, `H/J/K/L/M/N' for Diploma holders;
and Emergency Medical Technician - Paramedic I/Senior/Chief/ Principal, Job Groups ‘K/L/M/N’ for Degree holders will
form a common establishment for the purpose of this Scheme of Service.
4.2. Conversion to the New Grading Structure
Serving Emergency Medical Technicians will adopt and convert to the new designations and grading structure as
follows:-
Present Designation Job New Designation Job

Group Group
Emergency Medical Technician - Basic ‘G’ a) Emergency Medical Technician - Basic ‘G’
III
b) Emergency Medical Technician - Basic II ‘H’

c) Emergency Medical Technician - Basic I
‘J’
d) Senior Emergency Medical Technician -
Basic
‘K’
Emergency Medical Technician - Advanced ‘H’ a. Emergency Medical Technician - ‘H’

Advanced III
b. Emergency Medical Technician - ‘J’

Advanced II
c. Emergency Medical Technician - ‘K’

Advanced I
d. Senior Emergency Medical Technician -

‘L’
Advanced
‘M’
e. Chief Emergency Medical Technician -
Advanced
‘N’
f. Principal Emergency Medical
Technician - Advanced
Emergency Medical Technician - Paramedic ‘K’ a) Emergency Medical Technician - ‘K’

Paramedic I
b) Senior Emergency Medical Technician - ‘L’

Paramedic
c) Chief Emergency Medical Technician - ‘M’

Paramedic
d) Principal Emergency Medical

‘N’
Technician - Paramedic
e) Assistant Director of Emergency ‘P’

Medical Services
f) Senior Assistant Director of Emergency ‘Q’

Medical Services
g) Deputy Director of Emergency Medical ‘R’

Services
h) Director of Emergency Medical Services ‘S’
4.3. Serving Officers
Serving officers will adopt and convert as appropriate to the new grading structure and designations provided in the
Scheme of Service though they may not be in possession of the requisite minimum qualifications and/or experience
prescribed in the Scheme of Service. For advancement to higher grades, however, officers must possess the prescribed
minimum qualifications and/or experience required for appointment to the grade.
5. PROVISION OF POSTS
A scheme of service does not constitute authority for creation/upgrading of posts. Any additional post(s) required under
the new grading structure must be included in the establishment proposal for consideration and approval by the Public
Service Commission of Kenya or the County Public Service Board as the case may be.
6. ENTRY INTO THE SCHEME OF SERVICE

6.1. Direct Appointment
Direct appointment will normally be made in the grades of Emergency Medical Technician - Basic III, Job Group
‘G’; Emergency Medical Technician - Advanced III, Job Group ‘H’ and Emergency Medical Technician - Paramedic I,
Job Group ‘K’; provided that the candidate is in possession of the minimum academic qualifications prescribed in
the Scheme of Service for that grade .
In exceptional circumstances, however, direct appointment may be made beyond these grades by the Public
Service Commission of Kenya / County Public Service Board on the recommendation of the Principal Secretary /
Chief Officer responsible for the Emergency Medical Services Function provided that the candidate is in
possession of the prescribed minimum qualification(s) and/or experience required for appointment to the grade.
6.2. Incremental Credit
Incremental credit(s) for approved experience acquired after obtaining the minimum prescribed qualifications
for the grade may be awarded at the rate of one increment for each completed year of approved experience
provided the maximum of the scale is not exceeded.
In granting incremental credit(s), any period of service stipulated as a basic requirement for appointment or
promotion to a particular grade will be excluded.
7. ADVANCEMENT WITHIN THE SCHEME OF SERVICE

The Scheme of Service sets out the minimum qualifications and/or experience required for advancement from one grade to
another. It is emphasized, however, that these are the minimum requirements, which entitle an officer to be considered for
appointment to the next grade. In addition, advancement from one grade to another will depend on:-
7.1. existence of a vacancy in the authorized establishment;
7.2. merit and ability as reflected in work performance and results; and
7.3. approval of the Public Service Commission of Kenya or the County Public Service Board as the case may be.
8. RECOGNIZED QUALIFICATIONS
The following are the recognized qualifications for the purpose of this Scheme of Service:-
8.1. A certificate of completion in any of the following areas: Emergency Vehicle Operations Course; Emergency
Medical Dispatch Course; Critical Care Course; or any other equivalent qualification from a recognized training
institution by the Emergency Medical Care Council.
8.2. A certificate of completion in Emergency Medical Technician - Basic Course; Emergency Medical Technician -
Advanced Course; Emergency Manager’s Course; Emergency Medical Services Instructor Course or any other
equivalent qualification from a recognized training institution by the Emergency Medical Care Council.
8.3. Diploma or a Post-Graduate Diploma in the following disciplines: Emergency Medical Services, Emergency
Medical Technology, Emergency Medicine, Pre-hospital Medicine, Critical Care Paramedicine; or any other
equivalent qualification from a recognized training institution by the Emergency Medical Care Council.
8.4. Degree (BSc.) in the following disciplines: Paramedical Sciences; Pre-hospital Medicine or a Degree in other
health related fields from a recognized institution by the Emergency Medical Care Council; .
8.5. Masters degree in any of the following disciplines: Emergency Medicine; Health Systems Management;
Emergency Management; Critical Care Paramedicine; or its equivalent qualification from a recognized institution.
8.6. Enrollment Certificate, Registration Certificate, Certificate of Completion or a valid Practicing Card / License in
Emergency Medical Services issued by the by the Emergency Medical Care Council.
8.7. Proficiency in driving and computer applications from any recognized institution.
8.8. A Supervisory Level Course lasting not less than two (2) weeks; a management course lasting not less than four
(4) weeks; or a Strategic Leadership Development Programme lasting not less than six (6) weeks from a
recognized training institution.
8.9. Such other qualifications as may be approved by the Public Service Commission of Kenya.
9. IMPLEMENTATION OF THE SCHEME OF SERVICE
The Scheme of Service will become operational with effect from 1st September 2018. On implementation, all serving officers
will automatically become members of the Scheme of Service.
10. JOB AND APPOINTMENT SPECIFICATIONS
EMERGENCY MEDICAL TECHNICIANS - BASIC: APPENDIX A

10.1. Emergency Medical Technician - Basic III. Job Group ‘G’
10.1.1. Job Summary - Duties and Responsibilities
This will be the entry and training grade into this cadre. An officer at this level will normally work under the
guidance of an experienced officer and under medical oversight.
The primary focus at this cadre is to initiate immediate lifesaving care to patients who access the Emergency
Medical Services System. Particular duties and responsibilities at this level will be of limited scope and
complexity. They include emergency response, patient assessment; diagnosis and treatment of minor injuries or
ailments.
This individual possesses the basic knowledge and skills necessary to provide basic lifesaving interventions with
minimal equipment while awaiting additional Emergency Medical Services response as well as to assist the
higher level personnel at the scene and during transport.
Other duties and responsibilities include but are not limited to:-
 being deployed to a Sub-County or Community Emergency Station or in an equivalent institution;

 working in a Basic Life Support unit as a patient attendant or an ambulance operator (driver);
 assessing patients, history taking, documentation and establishing emergency medical care needs;
 diagnosis and management of patients in Basic Life Support units and other pre-hospital care settings;
 undertaking appropriate referrals of patients and experts to designated facilities;
 ensuring safe custody for patients’ belongings.
10.1.2. Requirements for Appointment
For appointment to this grade, a candidate must have:-
a) a certificate of completion in any of the following areas: Emergency Medical Technician -Basic Course;
Emergency Vehicle Operations Course; Emergency Medical Dispatch Course; Emergency Medical Responder
/ First Responder Course or any other equivalent qualification from a recognized training institution by the
Emergency Medical Care Council; and
b) Certificate in Computer Application Skills from a recognized institution.
10.2. Emergency Medical Technician - Basic II. Job Group ‘H’
Duties and responsibilities at this level entail:

 assessing patients and establishing their emergency medical care needs;
 planning and implementing care interventions;
 administration of basic medication to provide better outcomes;
 ensuring a tidy and safe clinical environment and ensuring safe custody of patients’ belongings.

a) Served in the grade of Emergency Medical Technician - Basic III, for a minimum period of two (2) years;
b) Certificate of completion in Emergency Medical Technician -Basic Course or any other equivalent
qualification from a recognized training institution by the Emergency Medical Care Council;
c) Certificate in Emergency Vehicle Operations Course and a valid class BCE drivers license with Public Service
Vehicle license;
d) A valid practicing license / operating card from a recognized licensing institution by the Emergency Medical
Care Council;
e) Certificate in Computer Application Skills from a recognized institution; and
f) Shown merit and ability as reflected in work performance and results
10.3. Emergency Medical Technician - Basic I. Job Group ‘J’

 assessing patients and establishing their emergency medical care needs;
 planning and implementing care interventions;
 administration of authorized medication to provide better outcomes;
 ensuring a tidy and safe clinical environment and ensuring safe custody of patients’ belongings;
 maintaining and evaluating healthcare outcomes on patients and preparing individualised reports.

a) Served in the grade of Emergency Medical Technician - Basic II, for a minimum period of three (3) years;
b) Certificate of completion in an Emergency Medical Technician -Basic Course and Emergency Medical
Dispatch Course; or any other equivalent qualification from a recognized training institution by the
Emergency Medical Care Council;
c) Certificate in Emergency Vehicle Operations Course and a valid class BCE drivers license with Public Service
Vehicle authorization;
d) A valid practicing license / operating card from a recognized licensing institution;
e) Certificate in Computer Application Skills and Basic Life Support from a recognized institution; and
f) Shown merit and ability as reflected in work performance and results
10.4. Senior Emergency Medical Technician - Basic. Job Group ‘K’

 being deployed to head a Sub-County or Community Emergency Station or in an equivalent institution;
 providing emergency medical care education on identified needs;
 coordinating and facilitating the referral of patients, specimen, experts and organs to appropriate
facilities;
 creating a support supervisory plan, supervising and keeping records of Emergency Medical Technicians
under his or her care;
 maintaining Patient Care Records and preparing periodic reports;
 ensuring a tidy and safe clinical environment and ensuring safe custody of patients’ belongings.
 carrying out emergency care outreach activities.

a) served in the grade of Emergency Medical Technician - Basic I, for a minimum period of three (3) years;
b) certificate of completion in an Emergency Medical Technician -Basic Course, Emergency Vehicle Operations
Course and Emergency Medical Dispatch Course or any other equivalent qualification from a recognized
training institution by the Emergency Medical Care Council;
c) a valid practicing license / operating card from a recognized licensing institution;
d) a valid certificate in Computer Application Skills from a recognized institution; and
c) shown merit and ability as reflected in work performance and results
EMERGENCY MEDICAL TECHNICIANS - ADVANCED: APPENDIX B

10.5. Emergency Medical Technician - Advanced III. Job Group ‘H’
guidance of a senior experienced officer and under medical oversight.
The primary focus at this cadre is to provide advanced emergency medical care using advanced equipment and
procedures to service users. This individual possesses advanced knowledge and skills necessary to provide
patient care and transportation for critical, emergent, urgent and non-emergency patients who access the
Emergency Medical System.
Specific duties and responsibilities at this level entail:

 being deployed to a County or Sub-County Emergency Station or in an equivalent institution;
 working in an Intermediate Life Support unit as an emergency care provider or an ambulance operator
(driver);
 assessing, history taking, diagnosing, planning, implementing emergency medical care interventions and
reassessing patient outcomes;
 administration of authorized medication; initiating basic intravenous therapies, providing autonomous
Basic Life Support interventions and supervised Advanced Cardiac Life Support interventions;
 maintaining the Patient Care Reports and keeping patient records;
 identifying, managing and referring emergency medical care cases; and
 referring patients, experts and specimen to appropriate facilities.

a) A valid certificate in the Emergency Medical Technician - Advanced Course or a Diploma in any of the
following disciplines: Emergency Medical Services, Emergency Medical Technology; or any other equivalent
b) A valid class BCE driver’s license with Public Service Vehicle authorization; or any other equivalent
qualification from a recognized training institution;
c) A valid practicing license from a recognized licensing institution;
10.6. Emergency Medical Technician - Advanced II. Job Group ‘J’

 being deployed to a County Emergency Station; to an Info-Desk at the national level or to an equivalent
institution;
(driver);
 assessing, planning and implementing emergency medical care interventions;
 diagnosing common emergencies, providing appropriate emergency medical care and reassessing patient
outcomes;
 administration of authorized medication, initiating basic intravenous therapy, Basic Life Support, and
Advanced Cardiac Life Support interventions;
 training Emergency Medical Technician - Basic personnel and first aid students;
 maintaining the Patient Care Reports and keeping patient records;
 identifying, managing and referring emergency medical care cases;
 managing community rescue centres; and

a) served in the grade of Emergency Medical Technician - Advanced III, for a minimum period of two (2) years;
b) a valid certificate in the Emergency Medical Technician - Advanced Course or a Diploma in any of the
c) a valid class BCE driver’s license with Public Service Vehicle authorization; or any other equivalent
d) a valid practicing license from a recognized licensing institution;
e) a valid certificate in Advanced Cardiac Life Support and a valid certificate in Computer Application Skills
from a recognized institution; and
f) shown merit and ability as reflected in work performance and results.
10.7. Emergency Medical Technician - Advanced I. Job Group ‘K’

 being deployed at any County Emergency Station or ; to a Unit at the national level or to an equivalent
institution;
(driver);
 assessing, diagnosing, planning, implementing and reassessing emergency medical care interventions
versus patient outcomes;
 administration of authorized medication, initiating intravenous therapy, Basic Life Support, Advanced
Cardiac Life Support and other authorized Advanced Life Support interventions;
 evaluating healthcare outcomes on patients, preparing and maintaining individualised Patient Care
Reports;
 managing community rescue centres; and
 training Emergency Medical Technician - Basic personnel and first aid students.

a) Served in the grade of Emergency Medical Technician - Advanced II, for a minimum period of three (3) years;
e) a valid certificate in Advanced Cardiac Life Support and a valid certificate in Computer Application Skills
from a recognized institution; and
10.8. Senior Emergency Medical Technician - Advanced. Job Group ‘L’

 being deployed at any County Emergency Station; to a Division at the national level; or in an equivalent
institution and will be expected to monitor Emergency Medical Services at the institution;
(driver);
 assessing, diagnosing, planning, implementing, documenting and reassessing emergency medical care
interventions versus patient outcomes; as well as referring patients, experts and specimen to appropriate
facilities.
 administration of advanced medication, intravenous therapy, Basic Life Support, Advanced Cardiac Life
Support and other Advanced Life Support interventions;
 conducting clinical teaching and assessment of Emergency Medical Services staff and students;
 coordinating emergency medical care activities at the workplace;
 establishment of community networks through community health care workers and community own
resource persons (CORPs) and training the selected personnel;
 advising the Chief Emergency Medical Technician - Advanced on all aspects of Emergency Medical
Services and programs.

a) Served in the grade of Emergency Medical Technician - Advanced I, for a minimum period of three (3) years;
e) a valid certificate in Pre-hospital Trauma Life Support, Advanced Cardiac Life Support and a valid certificate
in Computer Application Skills from a recognized institution; and
10.9. Chief Emergency Medical Technician - Advanced. Job Group ‘M’

 being deployed at any County Emergency Station or to a Department at the national level; or in an
equivalent institution and will be expected to supervise Emergency Medical Services at the institution;
 formulating interventions to address identified emergency medical care needs and coordinating the
provision of appropriate emergency medical care;
 facilitating appropriate patient, specimen and expert referrals;
 advising Emergency Medical Teams on matters relating to Emergency Medical Care;
 assigning specific tasks to sub-ordinate staff and Emergency Medical Care Personnel, supervising pre-
hospital emergency care teams, as well as to monitor and evaluate the performance of sub-ordinate staff
to achieve set objectives;
 implementing projects and programs in Emergency Medical Services at the area of work in collaboration
with stakeholders;
 providing specifications for procurement of emergency medical care commodities and supplies;
 ensuring effective utilisation and safety of assigned medical supplies and equipment;
 conducting clinical research, analyzing data and preparing reports;
 implementing continuing professional development programs for Emergency Medical Technicians,
conducting clinical teaching and assessment of Emergency Medical Services staff and students;
 advising the Principal Emergency Medical Technician - Advanced on all aspects of Emergency Medical
Services and programs.

a) served in the grade of Senior Emergency Medical Technician - Advanced, for a minimum period of three (3)
years;
b) Diploma in any of the following disciplines: Emergency Medical Services, Emergency Medical Technology; or
any other equivalent qualification from a recognized training institution by the Emergency Medical Care
Council.
c) certificate in Basic Emergency Manager’s Course or a certificate in Supervisory Skills Course lasting not less
than two (2) weeks from a recognized institution;
d) a valid class BCE driver’s license with Public Service Vehicle authorization; or any other equivalent
e) a valid practicing license from a recognized licensing institution;
f) a valid certificate in Computer Application Skills from a recognized institution; and
g) shown merit and ability as reflected in work performance and results.
10.10. Principal Emergency Medical Technician - Advanced. Job Group ‘N’

 being deployed at the County; to a county referral facility; or in an equivalent institution and will be
expected to head all Emergency Medical Services at the designated area;
 carrying out the general administration of an Emergency Medical Services delivery department /
directorate at the County level;
 execution of Emergency Medical Services priorities by identifying, defining and designing solutions and
programs for major pre-hospital emergency medical care needs;
 initiating development of Emergency Medical Services policies, standards and guidelines in the provision
of emergency medical care in the areas of specialization;
 maintaining the discipline of emergency medical care personnel;
 initiating the preparation of work plans, developing emergency care programs, implementing projects
and programs in Emergency Medical Services at the area of work in collaboration with stakeholders;
 carrying out training needs assessment of Emergency Medical Technicians, develop training plans,
conduct training and develop monitoring tools for training in the designated stations;
 conducting occupational emergency care needs assessment, conducting desk reviews on health reports,
making appropriate proposals and overseeing the implementation of the proposed recommendations;
 implementing application of the Emergency Medical Services process at the pre-hospital and out-of-
hospital settings;
 coordinating the provision of appropriate emergency medical care services including emergency, disaster
and public health emergency response;
 designing health education interventions for patients and the entire community on identified health
needs;
 facilitating availability of resources for keeping clinical environment tidy and safe; and
 keeping up-to-date records of Emergency Medical Technicians.

a) served in the grade of Chief Emergency Medical Technician - Advanced, for a minimum period of three (3)
years;
h) Diploma in any of the following disciplines: Emergency Medical Services, Emergency Medical Technology; or
any other equivalent qualification from a recognized training institution by the Emergency Medical Care
Council;
b) certificate in Advanced Emergency Manager’s Course or a certificate in Management Course lasting not less
than four (4) weeks from a recognized institution;
c) a valid practicing license from a recognized licensing institution;
d) a valid certificate in certificate in Computer Application Skills from a recognized institution; and
e) shown merit and ability as reflected in work performance and results.
EMERGENCY MEDICAL TECHNICIANS - PARAMEDIC: APPENDIX C
10.11. Emergency Medical Technician - Paramedic I. Job Group ‘K’
guidance of a senior experienced officer.
Paramedics are autonomous practitioners who undertake a wide range of diagnostic, treatment and management
activities for service users across the lifespan, who present in either primary, urgent or emergency care settings.
This individual possesses advanced knowledge and skills necessary to provide critical care interventions to
patients who access the Emergency Medical Services System.
Specific duties and responsibilities at this level entail:

 being deployed at the national level or in an equivalent institution to deal with Emergency Medical
Services;
 working in an Advanced Life Support unit;
 providing holistic emergency medical care by carrying out risk identification and assessment of an
individual throughout the lifespan;
 performing a comprehensive patient assessment, diagnosis and recommending necessary interventions;
 formulating, planning, implementing and reassessing evidence-based emergency medical care
interventions for patients;
 creating and maintaining a safe and tidy emergency medical care environment for patients;
 carrying out therapeutic communication with the patients and their relatives;
 documenting interventions and emergency medical care outcomes;
 referring patients, experts, specimen and organs to appropriate facilities.
 administration of critical care medication, advanced intravenous therapy, Basic Life Support, and
Advanced Life Support interventions;
 conducting clinical teaching and assessment of Emergency Medical Services staff and students;

a) a Bachelor’s Degree (BSc.) in Paramedical Sciences from a recognized training institution;
i) a valid practicing license from a recognized licensing institution by the Emergency Medical Care Council;
b) a valid class BCE driver’s license with Public Service Vehicle authorization; or any other equivalent
qualification from a recognized training institution; and
c) a valid certificate Computer Application Skills from a recognized institution.
10.12. Senior Emergency Medical Technician - Paramedic. Job Group ‘L’
Services and will be expected to monitor Emergency Medical Services at the designated area;
 working in an Advanced Life Support unit;
 sensitizing communities on available and access to Emergency Medical Services;
 performing a comprehensive physical examination and providing holistic care by carrying out risk
assessment of an individual throughout the lifespan;
 assessing, formulating, planning and implementing evidence-based emergency medical care for patients;
 creating and maintaining a safe emergency medical care environment for patients;
 documenting interventions and emergency medical outcomes;
 participating in quality improvement and quality assurance procedures;
 facilitating appropriate patient, specimen, expert and organ referrals to designated facilities;
 advising Emergency Medical Teams on matters relating to Emergency Medical Care;
 conducting desk review, collecting, collating, interpreting data and implementing recommendations of
the findings for improvement of emergency medical care;
 analyzing research data, evaluating the impact, making recommendations from the findings and
preparing periodic reports; and
 collaborating and maintaining effective working relationships among interdisciplinary teams to support
patients and their families.

a) Served in the grade of Emergency Medical Technician - Paramedic I, for a minimum period of two (2) years;
j) Bachelor’s Degree (BSc.) in Paramedical Sciences from a recognized training institution by the Emergency
Medical Care Council;
k) a valid practicing license from a recognized licensing institution by the Emergency Medical Care Council;
b) a valid class BCE driver’s license with Public Service Vehicle authorization; or any other equivalent
c) a valid certificate in Advanced Trauma Life Support, Pediatric Advanced Life Support, and a valid certificate
in Computer Application Skills from a recognized institution; and
d) shown merit and ability as reflected in work performance and results.
10.13. Chief Emergency Medical Technician - Paramedic. Job Group ‘M’

Services and will be expected to supervise Emergency Medical Services at the designated area;
 assessing, formulating, planning and implementing evidence-based emergency medical care for patients;
 execution of Emergency Medical Services priorities by identifying, defining and designing solutions and
programs for major pre-hospital emergency medical care needs;
 formulating interventions to address identified emergency medical care needs and coordinating the
provision of appropriate emergency medical care;
 assigning specific tasks to sub-ordinate staff and Emergency Medical Care Personnel, supervising pre-
hospital emergency care teams, as well as to monitor and evaluate the performance of sub-ordinate staff
to achieve set objectives;
 implementing projects and programs in Emergency Medical Services at the area of work in collaboration
with stakeholders;
 providing quantification and specifications for procurement as well as guidelines for efficient utilization
of emergency medical care commodities and supplies;
 conducting patient audits, undertaking national emergency medical care risk assessments, undertaking
clinical research, analyzing data, preparing reports, and providing outcome based interventions to
improve patient care;
 conducting national training needs assessment, emergency medical teaching, assessment of trainees,
implementing continuing professional development programs and review of training for Emergency
Medical Technicians and students;
 coordinating quality assurance activities for improvement of emergency medical care outcomes;
 collaborating and maintaining effective working relationships among interdisciplinary teams to support
patients and their families;
resource persons (CORPs) and training the selected personnel; and
 coaching and mentoring of emergency medical personnel.

a) served in the grade of Senior Emergency Medical Technician - Paramedic, for a minimum period of three (3)
years;
b) a Bachelor’s Degree (BSc.) in Paramedical Sciences from a recognized training institution by the Emergency
c) a valid practicing license from a recognized licensing institution by the Emergency Medical Care Council;
d) a certificate in Basic Emergency Manager’s Course or a certificate in Supervisory Skills Course lasting not
less than two (2) weeks from a recognized institution;
e) a valid class BCE driver’s license with Public Service Vehicle authorization; or any other equivalent
f) a valid certificate in Advanced Trauma Life Support, Pediatric Advanced Life Support, Advanced Cardiac Life
Support and a valid certificate in Computer Application Skills from a recognized institution; and
g) shown merit and ability as reflected in work performance and results.
10.14. Principal Emergency Medical Technician - Paramedic. Job Group ‘N’

Services and will be expected to manage Emergency Medical Services at the designated area;
 maintaining the discipline of Emergency Medical Technicians and keeping up-to-date records of
Emergency Medical Technicians.
 carrying out training needs assessment of Emergency Medical Technicians, developing training plans,
conducting training and developing monitoring tools for training in the designated stations;
 conducting occupational emergency care needs assessment, conducting desk reviews on health reports,
making appropriate proposals and overseeing the implementation of the proposed recommendations;
 implementing application of the Emergency Medical Services process at the pre-hospital and out-of-
hospital settings nationally;
 coordinating the provision of appropriate emergency medical care services including emergency, disaster
and public health emergency response;
 designing emergency medical care education interventions for patients, health care professionals and
communities on identified health needs;
 developing and reviewing the Emergency Medical Services monitoring, evaluation and communication
framework;
 facilitating availability of resources for keeping clinical environment tidy and safe;
 mobilizing resources for implementation of emergency medical activities and projects; and
 advising the Assistant Director of Emergency Medical Matters on the operational aspects of Emergency
Medical Services.
a) Served in the grade of Chief Emergency Medical Technician - Paramedic, for a minimum period of three (3)
years;
c) a valid practicing license from a recognized licensing institution by the Emergency Medical Care Council;
d) certificate in Advanced Emergency Manager’s Course or a certificate in Senior Management Course lasting
not less than four (4) weeks from a recognized institution;
e) a valid certificate in Computer Application Skills from a recognized institution; and
10.15. Assistant Director of Emergency Medical Services. Job Group ‘P’

Services;
 coordinating development of policies, standards, protocols and guidelines in the provision of emergency
medical care;
 conducting studies and surveys in various emergency medical care areas and disseminating findings to
improve emergency medical care;
 monitoring and evaluating emergency medical care at the national level;
 conducting national training needs assessment, emergency medical teaching, assessment of trainees,
implementing continuing professional development programs and review of training for Emergency
Medical Technicians and students;
 facilitating resource mobilization and coordinating implementation of emergency medical care related
activities, projects and programs at the national level;
 conducting research, analyzing and interpreting data as well as generating reports; and
 preparing national strategic plans, annual work plans, ensuring target setting and performance contracts
for Emergency Medical Technicians.

a) Served in the grade of Principal Emergency Medical Technician - Paramedic, for a minimum period of three
(3) years;
b) Bachelor’s Degree (BSc.) in Paramedical Sciences from a recognized training institution by the Emergency
c) Masters degree in any of the following disciplines: Emergency Medicine; Health Systems Management;
Emergency Management; Critical Care Paramedicine; or its equivalent qualification from a recognized
institution;
d) a valid practicing license from a recognized licensing institution by the Emergency Medical Care Council;
e) certificate in Senior Emergency Manager’s Course or a certificate in Senior Management Course lasting not
less than four (4) weeks from a recognized institution;
g) demonstrated a high degree of professional competence and administrative capability.
10.16. Senior Assistant Director of Emergency Medical Services. Job Group ‘Q’

 being deployed at the national level; a national referral facility or in an equivalent institution to deal with
Emergency Medical Services;
 assessing, formulating, planning and implementing evidence-based emergency medical care
interventions for patients;
 designing national training needs assessment tools, curriculum and programs for Emergency Medical
Services;
 formulating interventions to address identified emergency medical care needs at the national level;
 developing strategies for resource mobilization, mapping potential partners, stakeholders and forging
linkages to support Emergency Medical Services;
 promoting integration and use of modern information technology in Emergency Medical Services; and
 advising Specialized Care Teams on matters relating to emergency medical care.

a) Served in the grade of Assistant Director of Emergency Medical Services, for a minimum period of three (3)
years;
institution;
e) Certificate in Comprehensive Emergency Manager’s Course or a certificate in Strategic Leadership
Development Programme lasting not less than six (6) weeks from a recognized institution;
f) A valid certificate in Computer Application Skills from a recognized institution; and
g) Shown a high degree of professional, competence and administrative capability as well as possess broad
experience in setting and evaluating emergency medical care and healthcare standards and programs.
10.17. Deputy Director of Emergency Medical Services. Job Group ‘R’

 being deployed at the national level to deputize the Director, Emergency Medical Services or may be
deployed to head Emergency Medical Services at a national referral facility; any other relevant
programme at the national level.
 giving technical advice in an emergency medical care field of specialty at the national level including,
development, dissemination, implementation and review of policies, standards, guidelines; standard
operating procedures, protocols, training programs for Emergency Medical Technicians;
 ensuring compliance with emergency medical care standards, guidelines and ethics;
 compiling monitoring and evaluation reports of Emergency Medical Services at County and National
Government levels;
 ensuring recommendations from emergency medical care research are utilized to inform policy
development;
 Training, development and assessment of Emergency Medical Technicians; and
 annual planning and budgeting for Emergency Medical Services.

a) Served in the grade of Senior Assistant Director of Emergency Medical Services, for a minimum period of
three (3) years;
institution;
e) certificate in Senior Emergency Manager’s Course or a certificate in Strategic Leadership Development
Programme lasting not less than six (6) weeks from a recognized institution;
h) demonstrated a high degree of professional competence and administrative capability as well as broad
experience in setting and evaluating emergency medical care and general healthcare standards and
programs.
10.18. Director of Emergency Medical Services. Job Group ‘S’

 being deployed at the national level to head the Emergency Medical Services Function and will be
responsible to the Principal Secretary in the Ministry of Health for Health Services in providing strategic
leadership and direction;
 providing national direction, leadership and governance of the Emergency Medical Services Function;
 formulating, implementing, interpreting and reviewing legislation, policies, strategies and programs
relating to Emergency Medical services;
 promoting collaboration and linkages with partners and stakeholders in Emergency Medical services;
 domesticating and ensuring compliance with emergency medical care standards, guidelines and ethics;
 providing technical advice on matters pertaining to Emergency Medical Services;
 formulating, reviewing and facilitating the national research agenda and promoting innovations in
Emergency Medical Services;
 ensuring performance management, technical assistance and capacity building in Emergency Medical
Services; and
 advocating for and mobilizing resources for the implementation of Emergency Medical Services as well as
planning, budgeting and managing facilities, assets and resources.

a) served in the grade of Deputy Director of Emergency Medical Services, for a minimum period of three (3)
years;
institution;
e) certificate in Senior Emergency Manager’s Course or a certificate in Strategic Leadership Development
Programme lasting not less than six (6) weeks from a recognized institution;
f) a valid certificate in Advanced Trauma Life Support, Pediatric Advanced Life Support, Basic Life Support,
Advanced Cardiac Life Support and a valid certificate in Computer Application Skills from a recognized
institution; and
g) shown distinguished administrative capability as well as possession of a broad experience in setting and
evaluating emergency medical care and healthcare standards and programs; and
h) demonstrated a high degree of professional competence, thorough knowledge and understanding of
national goals, policies and objectives and the ability to relate them to the management and functions of
Emergency Medical Services.
*END*

Proposed Scheme of Service For EMTs in Kenya

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“A CENTRE OF EXCELLENCE IN EMERGENCY MEDICAL SERVICES.

To whom it may concern.

RE: PROPOSED SCHEME OF SERVICE FOR EMERGENCY MEDICAL TECHNICIANS IN KENYA.

We look forward to your consideration and implementation of this Scheme of Service.

With kind regards;

BRIAN BEAUTTAH MIGIRO

TO BE APPROVED BY THE PUBLIC SERVICE COMMISSION

1. AIMS AND OBJECTIVES

1.4. To ensure appropriate career planning and succession management.

2. ADMINISTRATION AND TRAINING SCOPE OF THE SCHEME

2.2. Training Scope

3. EMERGENCY MEDICAL SERVICES FUNCTION / SCOPE OF PRACTICE

EMERGENCY MEDICAL TECHNICIANS - BASIC : APPENDIX A

New Designation Job Group

Emergency Medical Technician - Basic III ‘G’

Emergency Medical Technician - Basic II ‘H’

Emergency Medical Technician - Basic I ‘J’

Senior Emergency Medical Technician - Basic ‘K’

EMERGENCY MEDICAL TECHNICIANS - ADVANCED : APPENDIX B

New Designation Job Group

Emergency Medical Technician - Advanced III ‘H’

Emergency Medical Technician - Advanced II ‘J’

Emergency Medical Technician - Advanced I ‘K’

Senior Emergency Medical Technician - Advanced ‘L’

Chief Emergency Medical Technician - Advanced ‘M’

Principal Emergency Medical Technician - Advanced ‘N’

EMERGENCY MEDICAL TECHNICIANS - PARAMEDIC : APPENDIX C

Emergency Medical Technician - Paramedic I ‘K’

Senior Emergency Medical Technician - Paramedic ‘L’

Chief Emergency Medical Technician - Paramedic ‘M’

Principal Emergency Medical Technician - Paramedic ‘N’

Assistant Director of Emergency Medical Services ‘P’

Senior Assistant Director of Emergency Medical Services ‘Q’

Deputy Director of Emergency Medical Services ‘R’

Director of Emergency Medical Services ‘S’

4.2. Conversion to the New Grading Structure

Present Designation Job New Designation Job

b) Emergency Medical Technician - Basic II ‘H’

Emergency Medical Technician - Advanced ‘H’ a. Emergency Medical Technician - ‘H’

b. Emergency Medical Technician - ‘J’

c. Emergency Medical Technician - ‘K’

d. Senior Emergency Medical Technician -

Emergency Medical Technician - Paramedic ‘K’ a) Emergency Medical Technician - ‘K’

b) Senior Emergency Medical Technician - ‘L’

c) Chief Emergency Medical Technician - ‘M’

d) Principal Emergency Medical

e) Assistant Director of Emergency ‘P’

f) Senior Assistant Director of Emergency ‘Q’

g) Deputy Director of Emergency Medical ‘R’

h) Director of Emergency Medical Services ‘S’

4.3. Serving Officers

6. ENTRY INTO THE SCHEME OF SERVICE

7. ADVANCEMENT WITHIN THE SCHEME OF SERVICE

9. IMPLEMENTATION OF THE SCHEME OF SERVICE

10. JOB AND APPOINTMENT SPECIFICATIONS

EMERGENCY MEDICAL TECHNICIANS - BASIC: APPENDIX A

10.1.1. Job Summary - Duties and Responsibilities

 being deployed to a Sub-County or Community Emergency Station or in an equivalent institution;

10.1.2. Requirements for Appointment