requirements for being hired as EMT-B?

halocell

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Hello,
I am new to the forums and have only recently become interested in EMS. I was curious as to what certifications are required to be hired as an emt-b in california and what extra certs would look good to have ?. From what i have been reading in california it is just passing the NR, CPR/AED, is this correct?
 
NIMS 100, 200, 700 would look good. :mellow:
 
If you want an ambulance job, most places require:
CA Driver License
CA EMT card
Ambulance Driver Certificate
Medical Examiner Card
AHA CPR for Healthcare Provider

To get your CA EMT card initially, you'll need to be certified by the NREMT.

Like Achilles said, ICS 100, ICS 200, and NIMS 700 would look good. In fact, that's the bare minimum for most ambulance companies where I live. Please search the forum to find out about how to get these certs.

I'd like to add that becoming an EMT is expensive, and depending what part of CA you plan to work in, your only options might be interfacility transport (IFT), not 911, which is not what most people expect. The pay is not as high as what people imagine, average I'd say is about $10/hour, but it could be lower or higher in some places. There aren't a lot of jobs either; it might take you a really long time to get a job. I got my first EMT job 13 months after I had all of my certifications that were required to work, and I've been working as an EMT for about 1 1/2 year for IFT-only companies. I have never responded to a 911 call.

If you have more than 2 points on your driving record within the past 3 years, an accident, suspension, or a DUI within the past 7 years I think, a misdemeanor, or a felony, some variation of these, don't even bother.

Since jobs are limited, scheduling isn't great either. If you aren't available to work whenever for these ambulance companies, they might not hire you, or keep you. This could really limit your time with your friends and family, or make going to school difficult if you plan on earning a degree.

Before I became an EMT, I imagined the "paramedics" in the ambulance were like doctors (I called everyone in the ambulance a paramedic). I thought they learned a lot, they could do a lot, and that had lots of experience. I don't mean to bash on EMTs and Paramedics, but this is usually not true. At the time I went to school for EMT, CA required EMTs to take a class for 110 hours with one 10 hire ride along. My program went above and beyond and was 118 hours long with one 12 hour ride along. I think they require more now, but I haven't kept up with the changes if any. Hopefully this demonstrates that we don't go through a lot of schooling, and I'd like to add that EMTs cannot do a lot of things like administer drugs (in CA, usually supplemental oxygen and oral glucose is all we can administer), we cannot perform procedures or diagnostics like start an IV, intubate a patient, cardiac monitoring, pulse oximetry, or check their blood glucose level. I am very dissatisfied as an EMT by how little we know and how little we can do for our patients, and I feel like a phony everytime I interact with the public and have a patient because they expect so much out of me.

Had I known this before, I probably wouldn't have started. I am very dissatisfied as an EMT. I'm going to paramedic school, kinda seeing where this is taking me, I am pretty enthusiastic about it too, I will be able to do more for my patient once I get a job as a paramedic, but I also need to keep in mind that there are almost no paramedic jobs out there, I still might not work on a 911 unit, and if I move to work as a paramedic somewhere else, I will probably get not much more than an EMT.

If you still want to do this, rock on.
 
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The above post is very accurate. However I work for a 911 company in CA and am able to take a BGL, place pt on 12 lead and use pulse oximetry as long as the FD allows it which is probably 80% of the time. I can also safely say I receive the opportunity to use all of my EMT skills (bagging, suction, CPR, c-spine) when the call permits. None of this stuff is hard and it is experience. I would go for your EMT-B but only if you plan on using it as a stepping stone into something else.
 
APRZ post is extremely accurate with what you need to get hired. More and more companies are now requiring the NIMS 100, 200, 700, and 800 courses.

Different areas allow for different things. For instance I can place the patient on 4-lead and 12-leads and record the EKG strip, obtain/test blood glucose, and use pulse oximetry.

And for Aprz I believe as of last semester it's was 120 class ours with a 10 hour ride out (but I'm not 100% sure. My program is now 200 hours of class and 48 hours of ride time. We are talking about bumping it up to 208 hours.)
 
Thank you all for the feedback! I am actually taking a few of those online classes listed above through NFA. I also have a few more questions. Im still stuck between going for a fire career or working soley as a paramedic( I am aware that both jobs are scarce in the bay area). Is it even possible to get through life as a paramedic or should i just set my goals right now to work towards a job in the fire service?

Also what is IFT ? is it transporting patients from one hospital to another ?
 
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That is pretty awesome your program is looking to essentially double the class length, EMTs may get something useful out of the program with some added time.

As for the fire medic vs private medic it is going to depend where you live. If you are in southern cali, fire is going to be the most likely route. I think AMR starts medics out at around $15-16 with the exception of Ventura County where it is a little more. Most SoCal FD starting salaries will be over $60k. If you are in Central Cali (where the FD are only BLS), Hall Ambulance in Bakersfield and American Ambulance in Fresno make it possible for people to make a career out of working for a private 911 company. Starting salary for both companies is around $35-40k and the cost of living is not very expensive. You won't be getting rich any time soon off those numbers though. I don't know that much about Northern Cali, but I believe AMR has a large hold on the private EMS for medics. I know that FD runs a lot of ALS out there as well, so it seems to be a mix of the two.

As for the classes, I took around 7-10 ICS classes and the current company I work has never even mentioned the word ICS among employment. That being said they are useful to take anyways. And yes IFT stands for Inter Facility Transport which is transport in between hospitals, dialysis centers, con homes and Dr./medical appointments.
 
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