JOB PROFILE

Post Title: Emergency Medical Technician

Portfolio: Health & Social Care
Responsible to: Senior Paramedic
Emergency Care Assistants (ECA)
Responsible for: Supervision and mentoring of temporary assigned Health Care
Assistants (HCA)
Grade: E

Job Purpose

To improve the lives of all within our community and help the island thrive through the provision
of an effective emergency service under the direction of the paramedic team or other senior
qualified practitioner, working unsocial hours and supporting on-call duties to provide a 24/7
response.

Working independently when not under direct supervision and managing the emergency
department as the lead clinician until relieved by a Senior/Sister. Ensuring that every patient
contact counts by provide a high standard of care, promoting well-being, providing lifestyle
advice, and making referrals to other health and social care professionals, when appropriate.
Offering support to other departments when required to ensure business continuity is
maintained throughout the portfolio.

Supporting the development and succession of the ambulance service by delivering pre-hospital
training and facilitating practice education when working with colleagues.

Main Duties and Responsibilities

1. Provide 24 hour/365 days emergency response to ambulance calls (including outside of

normal working hours, weekends and public holidays), driving ambulances (or first
responder vehicle) safely under emergency conditions. This role will involve working as
part of an on-call roster.

2. To assume clinical responsibility for the department and patients in the absence of a
senior HCP, managing junior staff, delegating tasks, and acting as an advocate for the
patients ensuring patient safety is maintained at all times.

3. Safely transport patients (including the critically ill and unstable) to and within the
hospital or other required locations (such as the airport) utilising safe and approved
manual handling techniques, and using specialist manual handling equipment (e.g.
Spinal board, scoop head immobilisation etc.).

4. Assist in the transfer of routine non-ambulant patients to and from their place of
residence (i.e. community care complex) either prior to or following hospital treatment.

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5. Clinical duties will vary greatly depending on the patient, their presenting condition, and
location of assessment. You should always work within your scope of practice which
may include the following:

 Gaining consent when appropriate, undertaking primary and secondary

assessments, and obtaining a history of the presenting complaint using functional
enquiries.

 Providing initial treatment prior to transporting to hospital, if required as per UK

JRCALC and an agreed scope of practice. Seeking clinical advice where
appropriate.

 Use of technical equipment, including defibrillators, ventilators, and suction units.

 Capturing and interpreting electrocardiograms correctly, seeking advice when

needed.

 To correctly obtain biological samples from patients such as bloods, urine, or

material swabs for analysis.

 To carry out invasive procedures when necessary, such as cannulation or the

insertion of supraglottic airway to support ventilation.

 To monitor the patients physiological condition and identifying signs of

deterioration.

 Liaise with members of other emergency services, such as the police, fire brigade
or sea rescue, to ensure the appropriate level of response is provided to enhance
patient care and reduce risk to other colleagues when managing a scene, acting
as the operational commander until relieved of this duty.

 Work closely with doctors, nurses, midwives, and other health and social care
professionals, providing them with a clinical handover upon arrival to hospital.

 Liaise with allied health professionals such as radiographers, physiotherapists, and

occupational therapists to ensure a team approach to a patient's care journey.

 Deal with members of the public and negotiate with family members present at the
scene. Acting in the patient best interests and being empathetic at all times.

 Clean, decontaminate and check vehicles and equipment to maintain a state of

operational readiness.

 Assist other healthcare professionals with patient care and assessment when
needed, this may include assisting patients with personal care.

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 Produce thorough case notes and report the patient's history, condition and
treatment to relevant hospital staff.

 Maintain confidentiality of patients and act in a professional manner at all times.

6. Undertake clinical duties within the general hospital, emergency department, or other
healthcare settings on the island.

7. To provide support and assistance to other emergency services where required,

including the use of portable digital radio systems to communicate with other agencies
and the hospital.

8. Assist with the evacuation of unwell patients from ships or other sea vessels when
alerted by the emergency control room of a SOLAS request.

9. Carry out direct patient care such as washing, toileting and feeding patients whilst
promoting independence and following agreed care plans.

10. Utilise well developed interpersonal, communication, empathy and re-assurance skills
when communicating on an individual basis with patients, families and staff. Establish
and foster an effective working relationship with colleagues from the multi-disciplinary
team across the services in the Hospital, the Community and across the Health and
Social Care Portfolio.

11. Ensure that the highest standards of clinical care are provided. Ensure systems and
processes are followed to monitor and assure the quality of care and patient experience
within the Directorate. This would include completing ambulance patient report forms
and uploading them to patient records.

12. Perform daily checks of equipment and medications required for the ambulances and
emergency department. Ensure stock and equipment needs are identified and ordered
as required.

13. Ordering of consumables and medications from stores to maintain a minimum stock
level sufficient for responding to ambulance calls and treating patients within the
emergency department.

14. Duties as set out in the medical gas protocol, to refill oxygen cylinders using the oxygen
plant. Moving of medical of gases between departments and packaging/preparation for
shipment.

15. To carry out mortuary duties, transferring of the deceased both from the community and
hospital. Storing, and recording bodies for billing purposes. Liaising with families and
funeral directors to ensure funeral plans can be met.

16. Act as an advocate for safeguarding patients. Ensure that all safeguarding actions
required of the Health Directorate are followed through in a timely manner.

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17. Support the development of all staff, including nursing staff, in relation to the ambulance
service and emergency care procedures. Undertake training, mentoring and upskilling
of staff to maintain a high standard of emergency care.

18. To support the delivery of training courses through the SHCC for both government
employees and the public.

19. To be accountable for own professional practice and development, to maintain an

portfolio of evidence.

20. Respond in a timely manner when contacted upon the declaration of a major incident or
major incident standby, this may include when not on duty or on annual leave.

21. Maintain the major incident preparedness equipment and radio pool on a monthly basis
or after use.

22. Understand and comply with any policies, guidelines, protocols or standard operating
procedures which fall into the scope of practice of the role.

23. Participate in clinical supervision, audits, mandatory training and appraisals where
required.

24. To facilitate practice education for all emergency care assistants and supervise their
clinical practice, ensuring competencies are achieved.

25. Report any accidents, complaints, clinical incidents or near-misses to the line manager
and governance lead in-line with hospital policy.

26. Assist in any area of the hospital where required (I.e. Wards, Theatre, Radiology,
Outpatients, when not undertaking the primary role tasks as mentioned above) providing
patient support as directed by a qualified practitioner and within the scope of practice of
the EMT.

27. Any other tasks which would be reasonably expected to be completed within the EMT’s
area of responsibility.

Special Conditions

 Potential physical and verbal abuse from patients/clients and others.

 Potential exposure to communicable diseases.

 Potential exposure to bodily fluids.

 Unsociable hours / shift work and on-call duties required.

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 Able to cope with high physical demands required from manual handling duties.

 Navigate in difficult and challenging terrain and in adverse weather.

This job profile is not an exhaustive list of duties and responsibilities. There may be other ad
hoc duties that fall within the remit of the role that the job holder may need to complete. In
addition, the job holder will be required to carry out any other reasonable duties as requested
which are commensurate with the grading and level of responsibility for the role.

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Core Competency Framework

Competency Level
Professional Development: (ii)
Requirements for Professional Competency standards to be met and a Continuous
Professional Development portfolio to be maintained, evidencing learning.
Planning & Delivery of Work: (iv)
Ensures appropriate resources and levels of capability are available to deliver
services. Promote and enforce appropriate organisation rules and procedures,
leading by example, recognising good and addresses poor performance.
Analysis and use of Information: (iii)
Gathers, summarises and interprets data with attention to details. Follows guidelines
and uses evidences based information for further analysis. Seeks advice when
needed and escalates information as needed.
Decision Making: (iii)
Solves problems that have significant short-term implications for the directorate and
assesses the impact of decisions made. Decisions are formed based on trends,
patterns and causes rather than just symptoms and is evidence based and made in
compliance with policy guidelines.
Working with Others: (iii)
Engages effectively with senior managers and other stakeholders using a range of
communication mechanism, and shares and implements good practice with all.
Communication: (iii)
Ensure important messages are understood and written communications are well
structured and have clear meaning. Presents information that have a positive impact
on others and engages with them to understand their needs.
Influencing and Persuading: (iii)
Encourages, provides and is receptive to constructive feedback to improve
performance of self and team. Remains constructive when disagreeing or
challenging and ensures alternative approaches to work are effective in meeting the
organisation and individual needs. Challenges inappropriate behavior and reports
concerns to senior managers.
Dealing with Change: (iv)
Directs and drives organisational change in line with the wider strategic needs,
supports the secession of the ambulance service, being flexible and adaptable to
change initiatives.
Continuous Improvement: (iii)
Sets SMART objectives for team and evaluates them and where necessary
motivates team members to improve and develop their performance.
Managing Resources: (iv)
Gains respect and credibility from team members through effective delegation,
coaching and development.

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 PERSON SPECIFICATION
Essential
Application Selection
Criteria /
Form Process
Desirable

Qualifications:
Pre-Hospital Emergency Care Qualification E √
(FREC, IHCD, APP, EMT/ECT, AEA, ECA, ANT, ILS) –
Level 3 or above
Professional Healthcare Registration D √
Level 4 First Response Emergency Care Qualification (or D √
willing to undertake)
Valid driver’s licence classes A, C, D E √
Manual Handling Certificate (or willing to undertake) E √
Knowledge & Experience:
Experience of working within a healthcare or emergency E √
services environment
Considerable clinical experience working autonomously in E √
a pre-hospital setting
Experience working and communicating with members of E √
the public
Extensive driving experience of Class D vehicle (Over 3.5 E √
tons)
Experience of staff management, supervision, and clinical D √ √
education
Knowledge of UK JRCALC and other pre-hospital D √
guidelines
Understands how to operate emergency equipment E √
independently, such as a defibrillator
Must have good knowledge of the local area and driving E √
conditions
Must have experience of driving emergency vehicles under E √ √
emergency conditions utilising blue lights and sirens and
legal exemptions
Clinical experience and knowledge of theatres, radiography D √ √
departments, general wards etc.
Skills and Abilities:
Must have a good command of English E √ √
Good organisational skills E √ √
Good standards of physical health and mental resilience as E √ √
would be reasonably expected for the type of situations the
role will be exposed to.
Excellent interpersonal skills with the ability to effectively E √ √
communicate with patients/clients and their relatives,
members of the public, colleagues and junior staff
Ability to remain calm in emergency situations E √
Must maintain confidentiality E √

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 PERSON SPECIFICATION

Essential
Application Selection
Criteria /
Form Process
Desirable
Ability to work independently and without direct E √ √
supervision, working within the set scope of practice
Ability to be flexible and able to respond to the varying E √ √
needs of the service
Effective team player required to work with colleagues and E √ √
staff to establish and develop a flexible and adaptable team
approach in order to deliver a quality service and facilities
practice education
Be able to take direction from qualified practitioners and E √ √
managers
Responsive to change E √ √
Professional and patient focused E √
Other:
Undertake mandatory training including basic life support to E √
stay up to date with modern criteria as directed by the
Health and Social Care Portfolio.
Willingness to work flexibly – unsocial hours are expected E √ √
Committed to safeguarding and promoting the welfare of E √ √
children, young people and vulnerable adults.
Contribute to a positive working environment ensuring E √ √
commitment to equality and diversity.

Our Values

FAIRNESS
We act as role models and have fair and consistent standards. We champion equality, inclusion
and respect.

INTEGRITY
We communicate openly and we are honest, accountable and ethical.

TEAMWORK
We work together and we support each other.

Professional or Career Progression Cadre Competency Framework

Emergency Medical Technician – Practice Assessment Document, with completion of FREUC5

and Level 3 Award in Education and Training, to support the delivery of local training and
succession planning.

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