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Guardian Elite Medical Services Policies and Procedures


Policy #


Effective Date:

January 1, 2018

Review Date:

January 1, 2018

Approved By:

EMS Chief

CAAS Reference



Provides emergency care at the Paramedic level of care to the sick and injured in accordance with all applicable laws, regulations, and Company policies.


Primary Responsibilities:

  • Responding to an emergency efficiently and promptly.
  • Administering basic and advanced life support to patients at the scene, en route to the hospital, and in a pre-hospital setting in accordance with federal, state, and local laws, regulations, and standards, and in accordance with Company policies and guidelines.
  • Assessing the nature and extent of injury or illness to establish and prioritize medical procedures to be followed.
  • Effectively communicating with professional medical personnel and treatment facilities to obtain instructions regarding further treatment and/or to arrange reception of patients to the appropriate center.
  • Maintaining order at scenes, including crowd dispersement and restraint of family and friends.
  • Completing patient care forms, insurance forms, evaluation forms, and all other forms in a competent and timely fashion.
  • Adhere to and follow all Policies and Procedures concerning safety and contamination by bloodborne pathogens.
  • Educate and /or train personnel, EMS trainees, and the public.
  • Protect the privacy of all patient information in accordance with the Company’s privacy policies, procedures, and practices, as required by federal law and in accordance with general principles of professionalism as a health care provider.
    • Failure to comply with the Company’s Policies and Procedures on patient privacy may result in disciplinary action up to and including termination of employment with Guardian Elite Medical Services.
    • The Paramedic may access protected health information and other patient information only to the extent that is necessary to complete your job duties. The Paramedic may only share such information with those who have a need to know specific patient information you have in your possession to complete their job responsibilities related to treatment, payment or other Company operations.
    • The Paramedic is encouraged and expected to report, without the threat of retaliation, any concerns regarding the Company’s Policies and Procedures on patient privacy and any observed practices in violation of that Policy to the designated Privacy Officer.
    • The Paramedic is expected to actively participate in Company privacy training and is required to communicate privacy Policy information to coworkers, students, patients and others in accordance with Company Policy.
  • Promptly responding to instructions from a dispatcher and driving and operating specially equipped emergency vehicles to specified locations at a safe and controlled speed, in accordance with federal, state, and local laws, regulations and standards, and in accordance with Company policies, rules, and guidelines.
  • Assuring that vehicles are in good working condition at all times, are properly maintained and stocked, have all necessary equipment and that the equipment is in good working order at all times.
  • Cleaning, organizing and restocking vehicles in a ready condition after each transport.
  • Receiving and responding to requests for emergency ambulance service and other duties-related communication via two-way radio or other communication devices.
  • Maintaining accurate records of ambulance equipment and other emergency equipment and/or personnel dispatched to each emergency and non-emergency request and other operation and administrative data as required to maintain the operational continuity of the Company and as directed by superiors.
  • Properly document each transport on the approved Patient Care Report in accordance with Company Policies and Procedures.
  • Handling telephone communications professionally and efficiently with careful regard to the divulgence of information respecting confidentiality requests at all times.
  • Maintaining apparatus and equipment in accordance with all policies, procedures and direction. The Paramedic must perform routine tasks in and around the ambulance service building, including but not limited to:
    • Checking, restocking, inventorying and cleaning any apparatus operated by the Company.
    • Cleaning, doing dishes, emptying trash and other related duties in the station.
    • Washing and drying personal protective equipment in heavy duty washer and dryer.
    • Representing the ambulance service while on duty at public service functions, expositions, and other public events.
    • Performing any other duty related to the Company as designated by the supervisor or director.
  • The Paramedic must also:
    • Be a team player, as EMS is a team effort, and providers must provide necessary assistance to ensure system sanitation, readiness and adherence to quality assurance standards.
    • Be flexible, as emergency services operate on a 24-hour clock; the incumbent’s assigned work shift schedule may vary and the incumbent should be available to respond immediately for a call during the assigned work period and the start and shift times may vary due to the nature of the business.
    • Maintain a thorough working knowledge of local geography, which includes maps, streets, and grid book systems.
    • Maintain a thorough working knowledge of applicable current standards of care, including equipment functions and uses.
    • Assure that all certifications, licenses and registrations are up-to-date.
    • Conduct him/herself in a courteous, helpful, dignified and professional manner at all times when dealing with patients, co-workers, supervisors and or the public.


Knowledge and Skill Requirements:

  • Minimum of either a high school diploma or a GED as evidence of completion of a high school education
  • Must have and maintain current paramedic certification.
  • Possess and maintain a valid driver’s license, Paramedic certification, ACLS, PALS, BLS, and PHTLS.
  • Must be certified in ICS 100, ICS 200, NIMS 700, NIMS 800, and HazMat Awareness.


Physical Requirements of the Position

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. The position requires significant physical strength and dexterity and the ability to function in very adverse environments with exposure to numerous safety risks typically found at emergency scenes. The following guidelines are used to describe the frequency of activities in this position: occasionally equals 1-33%; frequently equals 34%-66%; and continuously equals 67-100% of a typical work day.


Standing/walking: Frequently to continuously when responding to calls. Optional while at rest at the facility. This usually includes: going to and from the emergency vehicle, and getting patients from their locations, and rendering treatment. Most walking would be for short distances, as emergency vehicles are allowed to get as close to the location as possible. However, the Paramedic must also be able to run these same distances, in case of an emergency where time is of the essence. Walking and running may vary, however, as the patient may be located inside a large, multi-floored facility. Standing, walking and running could be on all types of surfaces, including but not limited to: asphalt, cement, concrete, soft/packed dirt, linoleum, wood, hardwood floors, etc. The individual must be able to go up and down slight inclines or declines that may be found at roadsides, agricultural areas, etc. At a location, standing would occur more often than walking or running. Standing would occur on the wide variety of surfaces mentioned above. Standing could last from a few minutes to hours, depending on the situation. Standing could occur in the standard erect position, the kneeling or squatting position, etc.


Sitting: Frequently when responding to a location, the individual will sit in the emergency vehicle. The emergency vehicles are equipped with a standard installed vehicle seat. The time performing the sitting activity on a call would depend upon the specific situation.


Lifting and carrying: Frequently required to lift and carry weights ranging from a few pounds to ten pounds and above. Occasionally required to lift and carry weights in excess of 100 pounds or more. Paramedics will need to lift and carry with one team member adult patients, lifting them from various positions (such as a bed or a chair) onto various patient movement devices, such as an ambulance stretcher, a stair chair, long back boards, etc., and then efficiently move them into an ambulance. Other heavier objects in the high range category would be 5-foot tall, 10 inch diameter oxygen cylinders, and medical equipment boxes. The oxygen cylinders can be made of quarter-inch steel and weigh up to 113 pounds. The medical equipment boxes can weigh approximately fifty pounds or more.


Bending and stooping: Frequently throughout a work shift the individual will be required to bend in a range of 1 to 90 degrees. The average situation will require the individual to work in a range of 35 to 65 degree bends. This would involve: lifting a patient, lifting equipment, treating a patient at ground level, sitting on a bench located in the ambulance. This activity may be prolonged and last up to 30 minutes or more. During any given call, the provider may bend and/or stoop any number of times per incident.


Crouching and kneeling: Crouching and kneeling may be performed when on the scene picking up equipment or assisting patients. The actual number of times this is done depends on the particular incident.


Climbing: This is required when climbing steps up and down with a patient on a cot or other device, and when entering or exiting the emergency vehicle. Generally, the climbing would require that the Paramedic be lifting and carrying heavy objects such as a cot or other device with a patient on it. Balancing may be required when backing down staircases.


Reaching: Frequently to continuously throughout the work shift in order to review monitoring equipment, operate communication equipment, administer oxygen, and operate equipment. The incumbent may also be required to reach in precarious positions, such as in a vehicle, which has been crushed in an accident, or in other confined spaces. If working inside the ambulance en route to a medical facility, the incumbent will need to reach to access the patient and supplies. Reaching will involve partial to full extension of the arms.

Pushing and pulling: The activities that would require the most force in pushing and pulling is when removing or returning a gurney to the emergency vehicle, with and without a patient on the gurney. The weight required to push/pull will vary, depending on the weight on the gurney. Slight pushing will be required if the incumbent is performing CPR, which can require repetitive pushing and may range from a few minutes to hours. Pushing and pulling is required when operating and closing vehicle doors.


Handling or grasping: While working at any given location, continual bilateral gross manipulation is performed in this position. This may be involved when: opening/closing doors; and using, handling, carrying and operating medical equipment boxes that may weigh approximately fifty pounds or more, stretcher rails, various handles attached to equipment, and tools. The arm and hand must be able to perform all types of positions, including supination and pronation. Hyperextension, extension and flexion of the fingers will be involved, ulnar and radial deviation, abduction and adduction of the hand and wrist will be required. A wide variety of grasping will be required, such as cylindrical grasping, palmer grasping, hook grasping, tip grasping, lateral grasping and spherical grasping.


Hazards: The Paramedic, when responding to emergency situations, may be exposed to dust, fumes, gases, fire, smoke, adverse weather conditions, and chemicals. There is also exposure to body substances that may contain infectious materials that could cause illness or death. There is potential for bodily harm or death from violent patients, bystanders, or other dangers. At all times the Paramedic is expected to adhere to all applicable policies and procedures concerning safety and the prevention of contamination and infection due to blood borne pathogens.


Other physical requirements:

  • Maintain balance and strength in awkward positions.
  • Speak clearly under stressful circumstances.
  • Accurately communicate ideas orally and in writing in English.
  • Respond physically with speed.
  • Speak loudly.
  • Get along well with others.


Mental requirements of the position:

  • Handle a significant number of stressful situations, and be able to function calmly, coolly and collectedly under all types of stressful situations.
  • Get along well with diverse personalities.
  • Communicate with patients and others with empathy and respect.
  • Create and maintain a positive and cooperative working environment in stressful situations.
  • Work smoothly and professionally in an environment where teamwork is essential.
  • Analyze and interpret difficult and complex patient care and personnel situations.
  • Work independently with minimum supervision for assigned tasks.
  • Exercise sound independent judgment within general policy and procedural guidelines.
  • Anticipate and identify problems and take initiative to prevent or correct them.
  • Establish and maintain effective working relationships with all levels of personnel within the medical community, the company, outside agencies, patients, and members of the community.
  • Understand and follow federal, state and local laws, and company policies, procedures, and rules.
  • Establish and maintain effective working relationships with others;
  • Follow orders.
  • Remember and apply concepts, knowledge and principles.
  • Analyze and interpret situations.
  • Appropriately deal with stress and maintain composure when encountering serious injuries or illnesses.