APPLICATION FOR EMPLOYMENT

Ravena Rescue Squad Inc. is an Equal Opportunity Employer.

POSITION APPLIED FOR
PERSONAL INFORMATION
Note: Social Security Number will be collected in person for security purposes and is not requested on this online form.
MEDICAL BACKGROUND
CERTIFICATION / TRAINING BACKGROUND
AVAILABILITY
LEGAL
EMPLOYMENT HISTORY

List your last five years of employers, assignments, or volunteer activities, starting with the most recent. Include military experience.

EMPLOYER 1
REFERENCES

List at least three (3) personal or business references that are not related to you.

REFERENCE 1
REFERENCE 2
REFERENCE 3
STATEMENT OF TRUTH & CONSENT

STATEMENT OF TRUTH

I represent and warrant that the answers I have provided in this application for employment are true and correct, and are given for the purposes of securing employment in the Ravena Rescue Squad. I understand that if any falsely answered questions are found, they may be used as the basis for refusal of this application or immediate employment termination.

I acknowledge that I have read the NYS Department of Health Job Description for Emergency Medical Technician (available on their website and in Appendix A below), and am physically and mentally capable of performing to those standards.

I also understand and acknowledge that the Ravena Rescue Squad may require any employee to submit to a drug/alcohol test, prior to hiring and/or during their employment.

I also understand and acknowledge that if I am hired, I agree to obey and abide by the Policy and Procedures and Employee Handbook of the Ravena Rescue Squad, and furthermore agree to abide by the regulations as set forth by the New York State Department of Health.

RELEASE OF LIABILITY FOR BACKGROUND CHECK

I hereby agree that the Ravena Rescue Squad, the Board of Directors, Chief of Operations, and/or their designee, may do a background check on me, which includes past employers, personal and business references, criminal background, and driver's license.

By agreeing to the background check, I do hereby release Ravena Rescue Squad, past employers, and personal and business references, from liability for same.

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Ravena Rescue Squad Inc. is an Equal Opportunity Employer

APPENDIX A: EMT-B JOB DESCRIPTION

RESPONSIBILITIES

Emergency Medical Technicians-Basic (EMT-B) respond to emergency calls to provide efficient and immediate care to the critically ill and injured, and to transport the patient to a medical facility.

After receiving the call from the dispatcher, the EMT-B drives the ambulance to the address or location given, using the most expeditious route, depending on traffic and weather conditions. The EMT-B must observe traffic ordinances and regulations concerning emergency vehicle operation.

THE EMT-B:

  • Functions in uncommon situations
  • Has a basic understanding of stress response and methods to ensure personal well-being
  • Has an understanding of body substance isolation
  • Understands basic medical-legal principles
  • Functions within the scope of care as defined by state, regional and local regulatory agencies
  • Complies with regulations on the handling of the deceased, notifies authorities and arranges for protection of property and evidence at the scene

DUTIES INCLUDE:

  • Opening and maintaining an airway
  • Ventilating patients
  • Administering cardiopulmonary resuscitation, including use of automated external defibrillators
  • Providing prehospital emergency medical care of simple and multiple system trauma (controlling hemorrhage, treatment of shock, bandaging wounds, immobilization of extremities, neck and spine)
  • Providing emergency medical care for childbirth, altered mental status, respiratory, cardiac, diabetic, allergic reaction, seizures, poisoning, behavioral emergencies, environmental emergencies, and psychological crises
  • Searching for medical identification emblems
  • Assisting patients with prescribed medications
  • Administration of oxygen and oral glucose
  • Reassuring patients and bystanders by working in a confident, efficient manner

PHYSICAL REQUIREMENTS

  • Must be able to lift and carry 125 pounds
  • Lifting the stretcher and placing it in the ambulance
  • Providing emergency medical care while en route to the medical facility
  • Assisting in lifting and carrying the patient out of the ambulance and into the receiving medical facility

ADDITIONAL RESPONSIBILITIES

  • Restocking and replacing used supplies after each call
  • Cleaning all equipment following appropriate disinfecting procedures
  • Maintaining ambulance in efficient operating condition
  • Decontaminating the vehicle interior after transport of patients with contagious infection or hazardous materials exposure
  • Attending continuing education and refresher training programs as required

Ravena Rescue Squad Inc. · PO Box 144 / 1 Bruno Blvd. · Ravena, New York 12143 · (518) 756-2096