City of Sioux City EMT & AEMT (Full-time) (Civil Service)

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City of Sioux City

SALARY $15.99 – $22 .85 Hourly/$33,268.98 – $47,526.75 Annually


LOCATION  Sioux City, IA

JOB NUMBER 202300077


CLOSING DATE 8/17/2023 11:59 PM Central


City employees are required to reside in the City or within thirty (30) miles of the city limits within the states of Iowa, Nebraska, and South Dakota, and will be given 180 days from the date of hire to comply.

Sioux City Fire Rescue (SCFR) is an internationally accredited agency serving the citizens and visitors of Sioux City since 1888. SCFR provides the highest level of professional service possible.

SCFR EMS Division has an opening for a Paramedic who is looking to be part of our successful team. SCFR operates under the supervision of a contracted medical director who oversees the protocols, continuous quality improvement process and EMS providers working under his/her license.

The position provides direct patient care and transport in the prehospital environment and ensures completion of accurate and compliant electronic patient care reports consistent with CADS (Certified Ambulance Documentation Specialist) standards.  CADS course is provided during Orientation.   Additionally, performs non-emergency functions such as injury/illness prevention and other public safety activities.

Based upon the current shift schedule, which includes overtime for hours worked in excess of the regular workweek, the average annual wage for starting Paramedics is up to $76,042.  Opportunities to work additional shifts/hours are occasionally available. Hours of work will vary; the division operates every day.

Paramedics must have a valid Iowa Paramedic Certification at start of employment.  Candidates who are not certified in Iowa will need to provide evidence of application for reciprocity within a week of the conditional offer and will be required to provide evidence of Iowa Paramedic certification prior to start of employment.

Candidates must pass a Civil Service testing process which also includes a physical agility test and an Oral Examination prior to being placed on a Civil Service Eligibility List. Job offers are conditional and contingent upon passing pre-employment physical screening (by physical therapist); urine drug screen; physical exam to include lab work, pulmonary function screen, vision screen and audiogram; and a background check.

Please click on this link for more information about our EPAT physical testing process then scroll down to Supplemental Information for Current Postings.

At the City, we value our employees by providing them the peace of mind through our exceptional compensation and benefits package and are committed to the well-being of our employees and their families. Our employees enjoy our competitive benefits which include but are not limited to medical/Rx, dental, vision, life and disability, flexible spending accounts (Healthcare and Dependent Care), supplemental medical, retirement plans (IPERS and deferred compensation), and generous paid leave time.  For more information on our benefits, please visit
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Under the general direction of the EMS Director or designee provides a high standard of customer service and advanced patient care/medical treatment and transportation to appropriate hospitals within State law, medical direction, division procedures within the scope of practice for the license.  Perform non-emergency duties as assigned.

  • Responsible for oversight of all emergency medical treatment provided.
  • Provides emergency medical treatment, including, but not limited to, initiate and maintain IV access and medication infusion, operate complex electronic monitoring, provide medical intervention including pulse oximetry, cardiac monitor/defibrillator and glucometer.
  • Performs physical examination including interviewing patient for medical history; performs ongoing assessment and reassessment of patient; recognizes need for advanced medical intervention.
  • Provides emergency medical treatment as per scope of practice, state law, procedures, and medical direction.
  • Provides accurate medical documentation of all EMS calls and treatment provided and ensures documentation is sent to the appropriate receiving hospital.
  • Reports verbally and in writing, observations and medical care of the patient.  Provides accurate medical documentation, in a timely manner, of all emergency medical treatment provided.
  • Maintains compliance with HIPPA standards and patient confidentiality.
  • Knowledgeable and compliant with all SCFR procedures including SCFR safety and infection control procedures.
  • Establishes and maintains effective working relationships with officials, other agencies, fellow employees, and the general public.
  • Responsible for station duties and assigned community outreach, including EMS coverage at events.
  • Ensures maintenance, cleanliness and readiness of ambulance, equipment, inventory and station. Notifies supervisor of any issues with equipment, vehicles, and calls.
  • Serves as a field trainer/preceptor for EMT students
  • Attend and participates in required department training.
  • Serves on City or Department advisory committees.
  • Act as Lead Medic as required.
  • Maintains regular and punctual attendance and working hours. Scheduled shifts may include 24, 12, 8, or other shifts as assigned
  • Expected to temporarily perform duties outside of normal classification in the event of a declared emergency.  In the event that an employee is excused from work other than being sick, they will be required to report to work in a state of declared emergency.
  • Performs other duties as assigned.


Cognitive Demands, Skills and Abilities: Ability to speak clearly so others can understand you, ability to see details at close range (within a few feet of the observer), ability to see details at a distance, ability to identify and understand the speech of another person, ability to listen to and understand information and ideas presented through spoken words and sentences. Ability to handle confidential information and situations in a sensitive manner.
Ability to take initiative. Effective oral and written communication skills. Excellent interpersonal skills. Ability to work efficiently and safely with little direct supervision.
Problem-solving abilities. Accurate math skills.  Ability to concentrate in a diverse work setting.  Sound judgement and decision-making abilities.  Ability to drive safely in all road and weather conditions.  Ability to perform advanced medical procedures within scope of practice to include invasive procedures, in stressful situations.  Ability to provide training.  Ability to act as Lead Medic on a shift, given appropriate training and experience.Job Knowledge:  General knowledge of EMS equipment and ambulance maintenance.  General knowledge of office equipment.   Infectious disease.  Proficiency with computer software and applications.Language Ability and Interpersonal Communication:  Requires effective communication skills and the ability to aid employees, and the public. Requires the ability to speak clearly, distinctly and effectively with fellow employees; read in English and compare similarities and differences between words and series of numbers; apply common sense understanding to the work process, procedures, programs and services; and to provide and follow verbal and written instructions.

Physical requirements:  Ability to lift, carry, push, pull greater than 100 pounds.  Ability to work in the environments outlined below.   Moderate periods of sitting.   Intermittent climbing, balancing, stooping, kneeling, crouching, crawling, reaching, handling, feeling, and smelling.

Work Environment:  Moderate exposure to weather, extreme heat/cold, wet and or humid conditions, noise intensive levels, darkness/poor lighting, confined spaces, dirt/dust, and other adverse environmental conditions.  Use of protective equipment to include but not limited to eye wear, gloves, reflective vest, helmets and respiratory protection.  Exposure to violent behavior or combative patients, traffic hazards, electrical and fire hazards and communicable diseases.

Minimum Qualifictions:

  • Must be at least 18 years of age
  • High School diploma or equivalent
  • Possess current Iowa Paramedic Certification
  • Possess current American Heart Association (AHA) ACLS


  • Must be at least 18 years of age
  • High School diploma or equivalent
  • Possess current National Registry Paramedic Certification
  • Possess current American Heart Association (AHA) ACLS


  • Must be at least 18 years of age
  • High school diploma or equivalent and,
  • Must possess a current EMT certification and,
  • Must be enrolled in a paramedic program and,
  • Must have completed and possess a current AHA ACLS Certification

Possess and/or Obtain:
Must be able to obtain and possess a valid Motor Vehicle Operator’s License by employment start date.  Must be eligible to obtain an Iowa Paramedic Certification prior to date of hire.   Must possess or obtain an American Heart Association (AHA) PALS within two (2) weeks from date of hire.

1-3 years of clinical experience in emergency car
Pediatric Advanced Life Support (PALS)
Advanced Medical Life Support (AMLS)
Pre-hospital Trauma Life Support (PHTLS)
EMS-related Instructor Certifications

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