Uniform

• An official school uniform must be worn during all clinical education experiences.
  • The shirt must be tucked neatly into the trousers / pants.
• Trousers
  • Pants must be navy blue or black in color. Denim pants / blue jeans are not allowed.
  • Certain EMS trousers with thigh pockets may be allowed with program director permission.
  • Pants may not be tucked into boots.
  • The uniform must be always in good repair, clean, and neatly pressed.
  • Pants are worn with a black belt. The belt should be plain and free of writing, decoration, &/or a distracting or large buckle.
• Shoes
  • Shoes must be black with rubber soles for the hospital areas.
  • Solid black tennis shoes are acceptable if clean.
  • Uniform boots are permitted.
  • Slip on shoes or foam shoes are not safe and therefore not acceptable.
  • Socks may be white or black
  • Shoes / boots must remain appropriately laced, tied &/or always zipped.
  • Canvas shoes not permitted.
  • No tennis shoes or sandals
• Coats
  • If a coat is needed for cold weather, it should be dark and a single color, preferably black or navy blue.
  • The coat may not display any patches or emblems.
  • An Impulse Training Academy EMS jacket is available for purchase.
  • When wearing a coat/jacket, the nametag must be worn on the outside.
  • Impulse Training Academy sweatshirts purchased are allowed; other sweatshirts are not permitted.
• Scrubs
  • In certain clinical areas, students will be required to wear scrubs. When this is the case, the facility will furnish the student with scrubs. At the end of the clinical, scrubs will be returned to the facility.
• Hats
  • Hats are not to be worn with the uniform unless the student is outside during inclement weather on an ambulance clinical. The hat should be removed while indoors. The only approved hat is the Impulse Training Academy EMS hat available for purchase.

Personal Appearance

• Jewelry
  • The only jewelry to be worn is a wristwatch, plain wedding band, and Medic-alert emblem.

• Tattoos & Visible body marks
  • Tattoos and other body markings (i.e. hickeys, “love bites,” etc.) on the arms, hands, neck, head, or face, must be covered while on a clinical rotation. Visible tattoos on the arms require the addition of a long sleeve shirt underneath the appropriate colored polo shirt prior to entering the clinical agency. Tattoos on the back of the neck should be covered with a large bandage.
• Hair
  • The hair must be neat and clean.
  • Long hair must be pulled back and secured in such a manner as to not interfere with patient care. Hair should not fall across the face to impede vision. The hair should not hang down over the front of shoulders and long hair which is secured should not hang lower than the middle back. Hair extending past the middle back should be secured so as not to become a safety issue.
  • Mohawks, “Fauxhawks,” and other hairstyles which would be deemed atypical are not permissible in the classroom or clinical setting.
  • Hair color should be in a natural tone (i.e. blond, brown, black, etc.) with or without natural toned highlights. Unnatural hair colors (i.e. blue, green, pink, etc.) are not be permitted in the classroom or clinical setting.
• Facial hair
  • Beards and mustaches are permitted if they are neat and trimmed. Otherwise, male students must be clean-shaven.
• Fingernails
  • Fingernails must be short, clean, and without nail polish. Artificial / acrylic nails are not permitted due to infection control issues. Nail hygiene is important to reduce transient and residual flora.
  • No artificial nails, overlays, tips, or nail ornaments permitted.
  • If nail polish is worn, it should be clear, light pink, or a natural color.
• Deodorant / Cologne
  • Your clothing and breath should smell fresh. The odor of cigarette smoke is offensive.
  • Lightly scented deodorant is permitted. Cologne cannot be used as fragrances are offensive to many patients, particularly those with allergies or compromised pulmonary function.
  • Detectable odors are not permitted. This includes but is not limited to perfume, cologne, after- shave, tobacco products, smoke, etc.
  • Absolutely no smoking or use of electronic cigarettes while in the official student paramedic uniform. The effects of the use of tobacco prior to or during the period when providing patient care can be offensive.
  • Students will maintain personal hygiene, including oral care. Materials
• An official school uniform must be worn during laboratory testing.
• Uniform must be clean and wrinkle-free.
• Appropriate undergarments are to be worn and undetected through the professional attire.
• Students are permitted to wear a white or navy blue short or long sleeve jersey/undershirt under the uniform top.
• Religious head covers are permitted however, they must be solid in color and expose the face.
• The official Impulse Training Academy uniform cannot be worn for any other purpose other than clinical or laboratory experiences. (ie: Shadowing, job interviews or social activities).
• Canvas shoes not permitted.
• The official valid Impulse Training Academy photo ID badge and facility required ID badge must be always worn above the waist on the clinical unit. Name and appropriate titling credentials must be visible.

Violations of the Uniform Policy

Violations of the uniform attire may result in immediate suspension from lab, clinical, field experience, or field internship until the student is able to be in proper attire as outlined herein.  Time missed from lab, clinical, field experience, or internship due to a uniform violation will be counted as time missed or tardiness as outlined in the attendance policy of individual class syllabi addenda.

Contact the Program Director for clarification or with questions about the policy as written.

QUALIFICATIONS

Educational Requirements

Must have a minimum of either a high school diploma or a GED as evidence of completion of a high school education and must have and maintain current Pennsylvania emergency medical technician certification or ability to work pursuant to a waiver.

Certificates, Licenses and Registrations

Must possess and maintain a valid driver’s license, current Pennsylvania EMT certification, American Red Cross CPR for the Professional Rescuer and/or American Heart Association BCLS certification, and other certifications as required.

Minimum Experience, Abilities Required and Special Requirements

Must possess basic working knowledge of Windows computers and be able to enter necessary data into a computer.

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 workday.)

STANDING/WALKING: Frequently to continuously when responding to calls.  Optional while at rest.  This usually includes going to and from the emergency vehicle, 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, 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 (10) pounds and above.  Occasionally required to lift and carry weights scaled at above 100 pounds or more. 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 (50) 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 1 to 15 times per incident.

CROUCHING AND KNEELING: Frequently.  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 but may be up to 15 times for a duration up to 30 minutes or greater.

CLIMBING: Occasionally.  This is required when climbing steps up and down with a patient on a stretcher or other device, and when entering or exiting the emergency vehicle.  Generally, the climbing would require lifting and carrying heavy objects such as a stretcher 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.  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, will need to reach to access the patient and supplies.  Reaching will involve partial to full extension of the arms.

PUSHING AND PULLING: Frequently.  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: Continuously.  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/or operating medical equipment boxes that may weigh approximately fifty (50) pounds or more, stretcher rails, various handles attached to equipment, and tools.  The arm and hand must be able to perform al 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: When responding to emergencies, can be exposed to dust, fumes, gases, fire, smoke, adverse weather conditions, and chemicals.  Driving at speeds beyond the posted limit may occur and, therefore, the incumbent may be exposed to vehicular accidents at a higher speed than normal.  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.

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; and
• 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 a minimal 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, PRO, outside agencies, patients, and members of the community;
• Understand and follow federal, state and local laws, and policies, procedures, and rules;
• Follow orders;
• Remember and apply concepts, knowledge and principles; and
• Appropriate deal with stress and maintains composure when encountering serious injuries or illnesses.

DISCLAIMER

The information provided in this description is designed to indicate the general nature and level of work performed within this position.  It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees assigned to this position.  Management has the sole discretion to add or modify the duties of the position and to designate other functions at any time.  This position description is not an employment agreement or contract.