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City of Torrance
Code: 3600

Class Designation: Non-Civil Service/At-Will

October 2007

Unit Representation: Certain Full-time Salaried & Hourly Employees 


Emergency Medical Services Nurse

Position Summary

Under direction, the Emergency Medical Services (EMS) Nurse develops implements and evaluates the effectiveness of the EMS activities of Public Safety Personnel within the Fire Department.  Monitors the prehospital patient care reporting system in compliance with county state and federal requirements; and performs related work as required.

Reporting Relationships

Receives direction from the Paramedic Coordinator (Fire Captain) or a Fire Battalion Chief.

Job Duties

  • Assists department staff in interpreting and ensuring compliance with EMS policies, procedures and protocols;
  • Develops criteria on which to evaluate personnel needs and operational effectiveness;
  • Monitors EMS program operations and personnel for compliance with legal requirements;
  • Determines training requirements for emergency programs;
  • Provides and coordinators training to department employees on EMS related topics, and reviews, monitors and revises EMS-related training programs to ensure that personnel meet required clinical standards;
  • Gathers data, conducts trend analysis, identifies problems, and reports on the findings;
  • Develops objectives and recommendations, implements policies, procedures and identifies operating standards related to emergency medical services and quality improvement findings;
  • Monitors program operation and personnel to ensure compliance with local, state, and federal regulations;
  • Conducts periodic needs assessments of the EMS program to assist in curriculum planning and development for EMS training and continuing education for Emergency Medical Technicians (EMT's) and paramedics;
  • Coordinates skills maintenance program and identifies advanced life support and basic life support training needs by evaluating personnel in the classroom, clinical and field settings; and reviews EMS reports and provides feedback to EMS personnel;
  • Evaluates paramedic and EMT medical care through direct observation and review of medical reports and tapes;
  • Conducts studies and analysis of emergency medical performance quality improvement and emergency medical dispatch issues;
  • Coordinates the evaluation of patient care with the base and receiving hospitals and acts as a liaison between the receiving facilities and the Fire Department;
  • Serves as a liaison between the fire department and hospitals, designated medical director and other outside agencies, regarding EMS activities, procedures, policies and mandates;
  • Functions as the continuous quality improvement coordinator (CQI) and reviews and assists in the resolution of emergency medical performance issues;
  • Conduct trend analysis and problem identification for CQI and prepare related audit reports and correspondence pursuant to department requirements;
  • Evaluates reports, tapes documentation of Pre-arrival Medical Instructions for Emergency Medical Dispatch (EMD) Program;
  • Identify training and educational needs for Emergency Medical Dispatch program.
  • Knowledge and Abilities

    Knowledge of
  • County, State and Federal statutes and regulations pertaining to prehospital care, EMS and Quality Improvement programs;
  • Pre-hospital care systems and emergency health care practices and procedures;
  • EMS Continuing Education regulations and requirements;
  • Current practices of EMS management and response procedures;
  • Basic and advanced life support (BLS) (ALS);
  • Principles and practices related to adult teaching, training and Continuous Quality Improvement;
  • Public relations and customer service techniques;
  • Emergency Medical Dispatch program, policies and procedures.
  • Ability to
  • Develop and implement EMS policies and procedures;
  • Develop, conduct and facilitate training related to EMS CQI findings/needs;
  • Develop curriculum and effective instructional delivery strategies & materials;
  • Develop, conduct, and facilitate training meetings;
  • Analyze program needs and develop, recommend and implement policies and procedures to achieve effective program operation;
  • Effectively evaluate the performance of Paramedics and EMT personnel in the area of emergency medical services;
  • Handle stressful or sensitive situation with tact and diplomacy;
  • Prepare and organize data for professional reports and/or presentations using various research resources and modern software applications such as MS Office including word processing, spreadsheet, presentation, and database;
  • Collect data and conduct analysis, and compute, interpret and compile statistics;
  • Research methodologies and resources, including Internet and report writing;
  • Computer software applications related to data analysis and report preparation;
  • Establish and maintain effective working relationships with City employees, other public agencies, physicians and other medical professionals, community representatives and the public;
  • Communicate effectively both orally and in writing;
  • Shift priorities as departmental workload demands require and meet deadlines;
  • Maintain confidentiality and exercise sound judgment.
  • Education and Experience

    Any combination of education and experience that provides the required knowledge and skills is qualifying.  A typical way of obtaining the necessary knowledge and abilities is:
    Associate of Science degree (AS), or greater in Nursing and five (5) years of experience in the delivery of emergency medical care, prehospital care, or an equivalent combination of education.
    Experience as a Mobile Intensive Care Nurse (MICN) and/or Prehospital Care Coordinator is highly desirable.

    Licenses and Certification

    Must possess a valid State of California driver's license of the appropriate class.
    Must obtain and maintain the following certifications within one (1) year of hire:
  • State of California Licensure as an RN.
  • California State Fire Marshal Instructor 1A & 1B certification.
  • BLS Certification.
  • ACLS Certification.
  • Special Requirements

    Performance of the essential duties of this position includes the following physical demands and/or working conditions.
    Work is performed in an office and/or classroom environment, and occasionally in outside weather conditions, with exposure to hazardous conditions. In the event of an emergency, may on occasion be exposed to blood and other body fluids and adverse conditions for an extended period of time.  May be required to travel to a variety of off-site locations.