EMT: IV (Full-time)

EMT: IVDepartment: Emergency Medical Services (EMS)Status: Full-Time | 48/96 Shift ScheduleFLSA Status: Non-ExemptReports To: Manager: EMS Deputy ChiefLocation: Pagosa Springs Medical Center – Pagosa Springs, Colorado Position HighlightProvide compassionate, high-quality emergency medical care while serving a rural mountain community as part of a skilled and collaborative EMS team.Position SummaryPagosa Springs Medical Center (PSMC) is seeking a dedicated and experienced EMT: IV to join our Emergency Medical Services team.The EMT-IV provides direct pre-hospital patient care within the EMT-B scope of practice while assisting Advanced Life Support (ALS) partners in the assessment, treatment, and transport of sick and injured patients. This position requires sound clinical judgment, adaptability, teamwork, and the ability to remain calm and effective in dynamic and high-stress environments.In addition to patient care responsibilities, the EMT-IV ensures assigned ambulances are mechanically sound and appropriately equipped at the beginning of each shift, participates in station responsibilities and training, and maintains all certifications required for the position.Why Join PSMC?Serve the Pagosa Springs community as an essential member of our EMS teamProvide meaningful, hands-on emergency care in a diverse rural environmentWork alongside experienced EMTs, paramedics, nurses, providers, and other emergency response professionalsGain experience responding to a wide range of medical, trauma, and emergency situationsWork a traditional 48/96 public safety scheduleBuild and maintain advanced pre-hospital patient care skillsParticipate in ongoing education, training, and emergency preparedness activitiesLive and work in the beautiful San Juan Mountains with exceptional year-round outdoor recreationKey ResponsibilitiesEmergency Medical CareProvide direct patient care within the EMT-B scope of practiceAssist ALS partners with advanced patient care as appropriateAssist with triage, assessment, and ongoing evaluation of patientsAssess and reassess patient pain and utilize appropriate pain management techniques within scope of practiceProvide appropriate care to patients in dynamic pre-hospital environmentsAddress the psychosocial needs of patients and familiesAdapt care appropriately for patients of diverse cultural and religious backgroundsPerform patient care in a manner that promotes patient safety and reduces the likelihood of treatment errorsAmbulance & Equipment OperationsInspect the assigned ambulance at the beginning of the shift to ensure it is mechanically sound and appropriately equippedOperate ambulances and other EMS vehicles safely and responsiblyOperate medical equipment safely and correctlyMaintain familiarity with medications and IV fluids authorized within applicable protocolsMaintain readiness of equipment and supplies necessary for emergency responsePromptly identify and communicate equipment, vehicle, or safety concernsDocumentation & QualityComplete patient care documentation accurately and in accordance with current standards and policiesComplete required documentation within the assigned shiftParticipate appropriately in quality assurance activitiesAccept and apply feedback from QA to continually improve clinical practiceMaintain required training, continuing education, licensure, and certificationsFollow established EMS and PSMC policies, procedures, protocols, and chain of commandTeamwork & Emergency PreparednessWork collaboratively with EMTs, paramedics, healthcare providers, law enforcement, fire agencies, and other emergency response partnersCommunicate effectively with EMS leadership and team membersDemonstrate sound critical thinking and professional judgment in high-stress situationsUnderstand the National Incident Management System (NIMS) and the role of EMS during large-scale exercises and actual incidentsAssist with the orientation of new EMS staff membersParticipate in departmental training and emergency preparedness activitiesSupport a professional, respectful, and team-oriented EMS cultureStation ResponsibilitiesParticipate in assigned station duties and choresMaintain clean, organized, and safe living and working quartersFollow established expectations for shared EMS living quartersParticipate in departmental inventory activities as assignedPerform additional station, training, and operational responsibilities as neededEducation & TrainingCompletion of the EMT-B national standard curriculum requiredSuccessful completion of a Colorado State-recognized IV training curriculum requiredExperienceExperience working as an EMT-B requiredOperational experience providing care to sick and injured patients strongly desired but not requiredKnowledge of clinical scope-of-practice skills, critical thinking, and pre-hospital patient care concepts requiredExperience providing pre-hospital care in dynamic environments requiring adaptability, situational awareness, and critical thinking strongly desiredLicensure & CertificationsCurrent Colorado EMT-B certification requiredCurrent AHA BLS certification for Healthcare Providers requiredMust successfully complete a Fitness for Duty evaluationMust remain insurable under PSMC's automobile insurance requirements and maintain an acceptable driving recordSkillsStrong pre-hospital patient assessment and clinical skillsSound critical thinking and decision-making abilitiesAbility to remain calm and professional during emergencies and rapidly changing situationsStrong teamwork and interpersonal communication skillsAbility to work independently while appropriately utilizing available resourcesAbility to safely operate emergency vehicles and medical equipmentBasic computer skills, including Microsoft Office, electronic health records, and EMS softwareAbility to effectively manage multiple priorities and frequent interruptionsAbility to perform the physical requirements associated with emergency medical carePhysical & Work Environment RequirementsThis is a physically demanding emergency response position. The job description classifies the position as Very Heavy Work and includes lifting, carrying, pushing, pulling, kneeling, stooping, reaching, standing, walking, and other physical activities associated with patient movement and emergency response. EMT_ Basic-IV EMT_ Basic-IVWork is performed in a variety of environments and may involve exposure to inclement weather, roadway and traffic hazards, blood and bodily fluids, communicable diseases, hazardous materials, equipment hazards, and potentially challenging or physically aggressive situations.What We're Looking ForThe ideal candidate:Is passionate about providing excellent emergency medical careRemains calm, focused, and professional in high-stress situationsDemonstrates strong clinical judgment and situational awarenessUnderstands the importance of accurate and timely patient care documentationWorks effectively as part of an EMT/Paramedic teamIs adaptable and comfortable working in unpredictable environmentsTakes accountability for maintaining clinical skills, certifications, equipment readiness, and professional standardsCommunicates respectfully with patients, families, coworkers, healthcare partners, and other first respondersValues teamwork and contributes positively to shared station responsibilitiesEmbodies PSMC's WISER values of Wholeness, Integrity, Stewardship, Excellence, and RespectSchedule, Hours & OvertimePSMC EMS employees generally work 24- to 48-hour shift tours, with most operations following a traditional public safety 48 hours on / 96 hours off (48/96) schedule.For employees scheduled to work 24 consecutive hours or more:Regular wages are paid for hours worked up to 40 hours in a single workweekHours worked beyond 40 hours in the workweek are paid at 1.5 times the employee's regular rateDaily overtime after 12 hours does not apply when the employee is scheduled for a shift of 24 hours or longerEMS employees may occasionally be scheduled for shifts of less than 24 hours to assist with operational or high-volume needs. For these shorter shifts, hours worked beyond 12 hours in a single workday are paid at 1.5 times the employee's regular rate.Compensation & BenefitsBase Compensation Range: $20.67 - $24.61 hourlyFor EMS positions: Compensation is subject to specific overtime rules in accordance with Colorado labor law and PSMC’s Payroll and Timekeeping Policy. EMS employees scheduled for shifts of 24 consecutive hours or more are paid at the regular base rate for up to 40 hours per workweek; hours worked beyond 40 in the same workweek are paid at 1.5x the base rate. These employees do not qualify for daily overtime after 12 hours due to the medical transportation exemption. For EMS shifts under 24 hours, time-and-a-half is paid for any hours worked beyond 12 in a single day.Benefits: Benefits include generous paid time off, separate sick leave, health, dental, vision, life and AD&D insurance, long-term disability and option for short-term disability, and retirement plan with employer contribution.Job Type: Full-timeAnticipated End Date for Posting: October 9, 2026. The deadline may close sooner due to an unanticipated business necessity, such as an incumbent vacating the role earlier than anticipated. You are encouraged to apply well in advance of the deadline.Pagosa Springs Medical Center is an Equal Opportunity Employer. All qualified applicants will be considered for employment, and we will not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, marital status, or any other characteristic protected by law. Offers of employment are contingent upon successful completion of a pre-employment health and drug screen and background check.About Pagosa Springs Medical CenterPagosa Springs Medical Center is a Critical Access Hospital serving Pagosa Springs and Archuleta County in southwest Colorado. Our EMS team provides essential emergency medical services across a rural mountain community where skilled, dependable pre-hospital care can make a profound difference for patients and families.Located in the beautiful San Juan Mountains, Pagosa Springs offers an unmatched quality of life with world-class hiking, skiing, fishing, mountain biking, rafting, hunting, and the world's deepest geothermal hot springs. At PSMC, you'll join a collaborative team guided by our WISER values: Wholeness, Integrity, Stewardship, Excellence, and Respect, where every team member plays an important role in protecting and improving the health of our community.Apply TodayIf you're a Colorado-certified EMT with IV training who thrives in a team-oriented emergency response environment and wants to make a meaningful difference in a rural community, we'd love to hear from you. Join Pagosa Springs Medical Center's EMS team and help provide exceptional emergency care when our community needs it most.
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