EMT Advanced

Gaston County Government; North Carolina; On-site; USD 30,307 - 34,440; Full time

Job summary

Gaston County Emergency Medical Services (GEMS) seeks qualified EMT-Advanced or AEMT professionals to join our countywide EMS system. The role includes supervising responders, coordinating emergency and non-emergency transports, and guiding lower-certified units in patient care, all while ensuring compliance with SOPs and medical protocols.

Starting hourly rate is $22.45. Candidates must hold NC EMT-Advanced or National Registry AEMT, current PHTLS and CPR, and a valid driver’s license.

Qualifications

• Required NC EMT Advanced or National Registry AEMT certificate.
• Current PHTLS and CPR certifications.
• Valid driver’s license with 3 or fewer points on record.
• Experience and training in responding to hazardous material incidents.

Responsibilities

• Provide supervision and technical medical support for EMS responders with lesser certification.
• Coordinate response and transport of emergency and non-emergency patients.
• Direct EMS personnel at or below EMT-Paramedic level in patient care.
• Ensure compliance with GEMS SOPs, Medical Protocols, and NCOEMS regulations.
• Maintain unit readiness: clean, stocked, and prepared at all times.
• Provide scene direction and EMS Operations coordination when needed.

Skills

PHTLS

CPR Certification

Hazardous Materials Response

Valid Driver's License

Education

NC EMT Advanced or National Registry AEMT

Job description

The mission of Gaston County Emergency Medical Services (GEMS) is to preserve and enhance the quality of life for the residents and visitors of Gaston County by providing superior quality Emergency Medical Service.

The duties listed below are not all of the duties that may be assigned but are those that are considered as essential for an employee to perform.

Responsibilities

• Provide supervision and technical medical support in the operational readiness of all EMS system responders with lesser certification.
• Responsible for the response and transport of emergency and non-emergency patients to appropriate medical facilities for the countywide Emergency Medical Services System. Responding to and assisting units that are lower certified and are requesting assistance. Direct emergency medical personnel at or below the EMT-Paramedic level in the delivery of patient care.
• Following and ensuring compliance with GEMS Standard Operating Procedures, GEMS Medical Protocols, and NCOEMS Regulations, specifically in the areas of patient care and transportation.
• Complete Patient Care Reports ensuring accuracy and supporting documentation is attached.
• Ensure unit is clean, stocked and in a maximum state of readiness at all times.
• In the absence of supervisor or other more senior medic, provide scene direction and coordination of EMS Operations when responding to a scene with the ability to assume direct coordination or command of EMS Operations, as needed.

Required Qualifications

• Graduation from an accredited college or university with a valid NC EMT Advanced or National Registry AEMT Certificate.
• Current PHTLS and CPR certifications
• Valid driver's license with 3 or less points on driving record
• Experience and training in responding and controlling hazardous material incidents.

Preferred Qualifications

• NRAEMT certification

Compensation

Starting hourly rate for this position will be: $22.45

Lateral Entry Incentive

• Any full-time Law Enforcement Officer, Detention Officer, Public Health Nurse, EMT or Paramedic hired into Gaston County’s Public Safety or Health Departments (Police, Sheriff, GEMS, Public Health), after 7/1/2026 with at least two years of full-time law enforcement, EMT/Paramedic, or professional nursing experience will receive lateral entry incentive pay in two installments. The first installment will be issued upon the completion of 6 months of continued service with Gaston County. The second installment will be issued upon completion of an additional one year of continued county service. The Lateral Entry Incentive Pay will be equal to the following amounts:
• $3,000 – EMTs and Public Health Nurses (two installments of $1,500)
• $4,000 – Detention Officers and Paramedics (two installments of $2,000)
• $5,000 – Police Officers and Deputy Sheriffs (two installments of $2,500)

Candidates selected will undergo a background check. The candidate selected must undergo and pass a drug screening test prior to employment.

In compliance with G.S.153A-94.2 (b), if the position being filled requires an applicant for employment to work with children in any capacity, the County must require the applicant, if offered the position, to be subject to a criminal history record check conducted by the SBI. These checks must be performed in accordance with G.S.143B-1209.26, which authorizes the SBI to provide fingerprint-based state and national criminal record checks to cities and counties.

Please note: new employees are likely to be scheduled to work night shift upon hire. New employees will have the ability to request ADA accommodations based on need after hire and the ability to participate in an annual shift bid process.