Emergency Medical Technicians
Description OES Code: 32508
Administer first aid treatment and transport sick or injured persons to medical facility, working as a member of an emergency medical team.

Wages, California
Entry-Level Hourly Wage $8.81
25th Percentile $9.83
50th Percentile $13.24
75th Percentile $17.22

Wages, San Joaquin County
Entry-Level Hourly Wage $7.85
25th Percentile $7.84
50th Percentile $8.70
75th Percentile $10.43

Wages by California County
OES Survey
CCOIS Survey

Hours & Benefits
EMTs and paramedics employed by fire departments work about 50 hours a week. Those employed by hospitals frequently work between 45 and 60 hours a week, and those in private ambulance services, between 45 and 50 hours. Some of these workers, especially those in police and fire departments, are on call for extended periods. Because emergency services function 24 hours a day, EMTs and paramedics have irregular working hours that add to job stress.

Employment Trends, California
Employment 1998 7,200
Projected Employment 2008 9,000
Percent Change 1998-2008 25%
Separations 1998-2008 2,200

Employment Trends, San Joaquin County
Employment 1999 230
Projected Employment 2006 280
Percent Change 1999-2006 21.7%
Separations 1999-2006 40

Employment Trends by California County

Working Conditions
EMTs, usually working in two-person teams, must maneuver safely and quickly through traffic while obeying traffic safety laws. Their response times are carefully tracked, and they are expected to reach the emergency scene within a specified number of minutes. Technicians must deal with both upset or distraught victims and excited bystanders while controlling the scene with calmness and a reassuring manner.

Advancement
EMT-Is take additional training to enter the advanced EMT-II and EMT-P classification. Some transfer into dispatcher jobs. EMT-Ps may become supervisors or trainers or move to jobs in the emergency room as paramedics. Some take additional medical training to be LVNs or RNs. Advancement beyond the EMT-Paramedic level usually means leaving fieldwork. An EMT-Paramedic can become a supervisor, operations manager, administrative director, or executive director of emergency services. Some EMTs and paramedics become instructors, dispatchers, or physician assistants, while others move into sales or marketing of emergency medical equipment. A number of people become EMTs and paramedics to assess their interest in health care and then decide to return to school and become registered nurses, physicians, or other health workers.

Getting the Job & Other Information
Job seekers who want to become EMT-I trainees may contact the EMS office in their county or in any county they wish to work. Qualified EMT-Is, EMT-IIs, and Paramedics are encouraged to register with the EMS office in the county or counties where they want to work.

Job seekers should also apply directly to ambulance companies. Some city and county medical-provider agencies have a separate classification for EMTs.

For a list of current job listing, browse CalJOBS or America's Job Bank.


Education and Training
The State Emergency Medical Services (EMS) Authority and county EMS offices certify EMT-Is, EMT-IIs and EMT-Ps based on the following requirements:

EMT-I: (certified by county EMS offices)
-- Minimum age: 18
-- Approved EMT training - 100 hours
-- Supervised clinical experience - 10 hours
-- Valid California driver's license
-- 24 Hours of Refresher training or continuing education every two years
-- Length of certification -- two years
-- Tested for recertification every four years
EMT-II: (certified by county EMS offices)
-- Minimum age: 18
-- High school diploma or equivalent
-- EMT-I certification and one year field experience
-- Minimum of 210 hours of approved classroom and skills laboratory
training
-- 96 hours clinical training & field internship
-- Minimum of 20 emergency advance life support patient contacts
-- Recertification examination every two years
-- 48 hours of continuing education every two years
-- Six field care audits of patient care records yearly
EMT-P: (licensed by State EMS Authority)
-- Age 18 with high school diploma or equivalent
-- Valid EMT-l/II certificate
-- 320 hours-Approved classroom and skills laboratory
-- Approved hospital clinical training -- 160 hours
-- Approved field internship - 460 hours with a minimum of 40 patient contacts who required emergency advanced life support assistance
-- Continuing education every two years - 48 hours including 12 hours of field care audits
-- Licensed by state Paramedics with military experience who are on the national registry are eligible to challenge the skills exam to meet registration requirements set by the State EMS Authority. Additional training may be required.

Skills & Other Requirements
EMTs and paramedics should be emotionally stable, have good dexterity, agility, and physical coordination, and be able to lift and carry heavy loads. They also need good eyesight (corrective lenses may be used) with accurate color vision. EMTs must be able to determine the nature and extent of the patient's condition while trying to ascertain whether the patient has preexisting medical problems. They must be able to follow strict procedures, and give appropriate emergency care and transport the patient. Some conditions can be handled following general rules and guidelines, while more complicated problems are carried out under the direction of medical doctors by radio.
EMTs and paramedics may need to be able to use special equipment such as backboards to immobilize patients before placing them on stretchers and securing them in the ambulance for transport to a medical facility, monitor a patient's vital signs, and gives additional care as needed. Some who work for hospital trauma centers, which use helicopters to transport critically ill or injured patients, are part of the flight crew.

References
California Occupational Guide #550

Related Occupations: Registered Nurse and Nurse Practitioner, #29, Licensed Vocational Nurse, #313, Firefighters, #241, Home Health Aide, #461, Medical Assistant, #513

Training: California Training and Education Providers (CTEP)