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Certified First Responder


Must demonstrate competency in assessment of a patient, handling emergencies using Basic Life Support equipment and techniques. Must be able to perform CPR, control bleeding, provide non-invasive treatment of hypoperfusion, stabilize / immoblize injured bones and the spine, manage environmental emergencies and emergency childbirth. Must be able to use a semi-automatic defibrillator. Must be able to assist patients with self-administration or administer emergency medications as described in state and local protocol.

The AEMT-Intermediate
Must demontrate competency in all EMT-B skills and equipment usage. Must be able to provide Advanced Life Support using intravenous therapy, defibrilator and advanced airway adjuncts to control the airway in case of respiratory and cardiac arrest.

The AEMT-Critical Care
Must demontrate competency in all EMT-B skills and equipment usage. Must be able to provide Advanced Life Support using the AEMT-Intermediate skills and equipment. Must be able to administer appropriate medications.

The EMT-Paramedic
Must be capable of utilizing all EMT-B and AEMT-intermediate skills and equipment. Must be able to perform under Advanced Cardiac Life Support (ACLS) and Basic Trauma Llife Support (BTLS) standards. Must be knowledgeable and competent in the use of a cardiac monitor/defibrilator and intravenous drugs and fluids. The EMT-Paramedic has reached the highest level of pre-hospital care certification.

Description of Tasks:

Responds to calls when dispatched. Read maps, may drive ambulance to emergency site using most expeditious route permitted by weather and road conditions. Observes all traffic ordinances and regulations.

Uses appropriate body substance isolation procedures. Assesses the safety of the scene, gains access to the patient, assesses extent of injury of illness. Extricates patient from entrapment. Communicates with dispatcher requesting additional assistance or services as necessary. Determines nature of illness or injury. Visually inspects for medical identification emblems to aid in care (medical bracelet, charm, etc.). Uses prescribed techniques and equipment to provide patient care. Provides additional emergency care following establised protocols. Assesses and monitors vital signs and general appearance of patient for change. Makes determination regarding patient status and priority for emergency care using established critieria. Reassures patient, family members and bystanders.

Assists with lifting, carrying and properly loading patient into the ambulance. Avoids mishandling patient and undue haste. Determines appropriate medical facility to which patient will be transported. Transports patient to medical facility providing ongoing medical care as necessary enroute. Reports nature of inury or illness to receiving facility. Asks for medical direction from medical control physician and carries medical control orders as appropriate. Assists in moving patient from abulance into medical facility. Reports verbally and in writing observations of the patient's emergency care provided (including written report(s) and care provided by Certified First Responders prior to EMT-B/AEMT arrival on scene) to emergency department staff and assists staff as required.

Complies with regulations in handling deceased, notifies authorities and arranges for protection on property and evidence at scene.

Replaces supplies, properly disposes of medical waste. Properly cleans contaminated equipment according to established guidelines. Checks all equipment for future readiness. Maintains ambulance operable condition. Ensures cleanliness and organization of ambulance, its equipment and supplies. Determines vehicle readiness by checking operator maintainable fluid, fuel air pressure levels. Maintains familiarity with all specialized equipment.

Licenses Issued and Active

As of December 31, 2010, there were 20,469 licenses issued in 2009.
As of June 30, 2012, there are 62,733 active licenses.

Licensing Authority

New York State Department of Health
Bureau of Emergency Medical Services

875 Central Avenue
Albany, New York 12206-1388
Phone: (518) 402-0996
Fax: (518) 402-0985

Standard Occupational Classification

29-2041 - Emergency Medical Technicians
To learn more about this occupation search the Occupational Information Network (O*Net).


Fees stated and other information contained in this report are subject to change. Please contact the licensing authority listed above for the most current information.

This page was last updated on 11/9/12.

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