Incumbent serves as Paramedic for the Ambulance Service, responsible for treatment, care and safe transportation of sick and/or injured individuals. Directs ambulance crew; ensures a quick and efficient response to scene of emergency, while maintaining the safety of the ambulance crew and public; drives/rides to scene, assesses patient condition, treats and stabilizes patients, transports patients to appropriate medical facilities and assists medical facility personnel upon arrival as needed. Periodically extracts patients from potentially dangerous situations as needed. Monitors patients while en route to medical facility and performs advanced life support procedures, including I.V. and drug therapy, Endo-trachial Intubation, cardiac defibrillation, taking blood samples, performing Dextro-Stick, operating Bio-Telemetry Communications, and EKG interpretation. Responds to calls for non-emergency medical service, including transporting homebound/disabled patients to medical facilities and transferring patients from one medical facility to another as assigned. Maintains appearance and serviceability of Department vehicle, garage, equipment and supplies, such as cleaning, washing, waxing vehicles; checking fluids and emergency equipment, maintaining and stocking supplies; checking oxygen and battery levels; laundering linens, cleaning and maintaining station; Inventory the ambulance daily and reorder supplies to maintain the proper inventory level. Completes and maintains various forms, records and reports as required, such as patient/accident reports, vehicle/equipment/building maintenance records and training records. Counts all narcotics and control substances daily and charts usage. Attends prescribed training programs for various certifications as assigned or required. Ensures approved ALS protocols are followed, if not under the direct supervision of a physician. Serves on 24-hour call for emergencies. Incumbent performs a wide variety of emergency medical tasks according to standardized procedures of the profession, exercising independent judgment in rapidly assessing patient condition and determining appropriate care as situations demand. Unusual situations, such as equipment failure, and accidents, are referred to supervisor. Incumbent's work is reviewed in progress and upon completion of specific duties for compliance with Department policies and procedures. Errors in work are primarily prevented through procedural safeguards, but undetected errors may result in damage to equipment and/or endangerment of self and/or others.