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Thread Title: Jobs Boards?
Created On Tue Jan 12, 2010 11:25 AM

Nsho
New Forum Member

Posts: 8
Joined: Jan 2010

Tue Jan 12, 2010 11:25 AM

I am about to start my EMT training in a couple of weeks. During the course of my training I would like to monitor job postings. Can anybody suggest some good web sites where EMT / Paramedic postings will be posted?

Thanks much!

arctickat
Senior Forum Moderator

Posts: 3967
Joined: May 2006

Tue Jan 12, 2010 2:00 PM

Where are you interested in finding work?

Here's one

-------------------------
Si is est non infractus , operor non restituo is.

Village Drunk

Nsho
New Forum Member

Posts: 8
Joined: Jan 2010

Tue Jan 12, 2010 2:05 PM

Well straight out of the course I have to go with the EMT route...preferably for a hospital. Shortly there after I will be preparation for my Paramedic with a long term goal of Med Flight.

Is there anything specific to EMT / Paramedic...I'm sure I can also seach medical job boards and medical fairs for jobs once I am done...no?

Edited: Tue Jan 12, 2010 at 2:07 PM by Nsho

PARAMEDICMIKE
Senior Forum Moderator

Posts: 3440
Joined: May 2003

Tue Jan 12, 2010 2:17 PM

Kat was asking geographically not career plan.

I've been wanting to use this for a while. It is only partially in jest. This really isn't a hard thing to research.

Why does everyone want to fly? I don't get it.

Good luck.

-be safe

-------------------------
-be safe

*************************************
Aut inveniam, aut faciam.

"There is an incessant influx of novelty into the world, and yet we tolerate incredible dullness."
-Thoreau

Edited: Tue Jan 12, 2010 at 2:18 PM by PARAMEDICMIKE

Nsho
New Forum Member

Posts: 8
Joined: Jan 2010

Tue Jan 12, 2010 2:44 PM

Thanks! I was actually wondering if there was anything dedicated to the field such as a Hcareers.com for hospitality related job. I do like the google link thought.... This was an RTFM post... being a n00b is not fun..

Geographically - Boston

Fly - My best friend is a helicopter pilot, he turned me into a flight junkie....Plus the adrenaline rush has to be insane.

PARAMEDICMIKE
Senior Forum Moderator

Posts: 3440
Joined: May 2003

Tue Jan 12, 2010 3:11 PM

If you had said in your very first post that you were in Boston you would have gotten much better help.

Your first, and last, stop should be Boston EMS. If you want to work EMS in your area this is where you need to be. Boston EMS is one of *the* best EMS agencies in the *country*. This is quite a feat given the rest of EMS in the Commonwealth (sorry, Elvis). Failing Boston EMS, your next bet is probably UMass in Worchester. Failing that, well, it's a big country. There are plenty of places to which you can move.

Please keep in mind, there is not a single accredited paramedic program in the entire Commonwealth. This is important to keep in mind when you're looking at paramedic school.

As for the adrenaline rush of flight medicine, it's not what you think. There is little adrenaline involved... unless you're in one of the many aircraft that have crashed in the past few years killing pilot, crew and sometimes patients. HEMS operations are one of the most dangerous jobs in the US recently.

Sure, you get to see some wicked sick patients. Sure, you might get to do some wicked cool stuff that you can't do on the ground. But air medical transport, and EMS/medicine in general, isn't about the adrenaline rush. If one gets an adrenaline rush from it that's only a bonus. If that's your reason for doing it then take up skydiving or something where the lives of others aren't relying on you.

Not trying to be harsh or unwelcoming (you're right... it is tough being a n00b), but this is something that people need to face. This isn't a job to come in and get your endorphins running and head home. This is real and the more you progress in the industry the more your patients rely on you being professional, knowledgeable and calm when dealing with them.

If you want an adrenaline rush, look elsewhere. Because honestly? The industry doesn't need adrenaline junkies. You'll burn out early and leave when you realize that it isn't the kick you thought it would've been.

If you're committed to medicine and real life people, however, stick around. This can be a very rewarding job.

I'd write more but I have to head out for a bit. Please ask other questions you may have. We here are more than happy to help answer anything you may have.

-be safe

-------------------------
-be safe

*************************************
Aut inveniam, aut faciam.

"There is an incessant influx of novelty into the world, and yet we tolerate incredible dullness."
-Thoreau

Nsho
New Forum Member

Posts: 8
Joined: Jan 2010

Tue Jan 12, 2010 3:37 PM

Yes I understand the med flight operations do have the highest crash rates...this was something I was warned of prior to my deciding to take the EMT class.

Also this is truly about saving lives, going out there and being excellent at what I want to do. I do of course enjoy a good adrenaline rush. Perhaps my selection of words was incorrect as it relates to the seriousness of the profession.

This is a second time around for me...I have a solid college degree, I have had a long standing Business Development career...however now it's now time for a change, and I have selected a field that I admire and respect. Your candor is very much appreciated, in fact you pretty much put me in my place (which I needed).

Thank you for the Paramedic Accreditation information. Certainly moving the family for a program is not really an option...so this is something that is going to require a bit of thought.

Much appreciated... and I'll be around.

Edited: Tue Jan 12, 2010 at 3:38 PM by Nsho

PARAMEDICMIKE
Senior Forum Moderator

Posts: 3440
Joined: May 2003

Tue Jan 12, 2010 7:50 PM

In what area of study is your degree? How long since you've been in school? It sounds like you'll be much better prepared than others who make the same move you're considering.

If you are looking for a serious career change into EMS please look long and hard at Boston EMS. They have a good reputation. Everyone who is hired by them starts as an EMT-B regardless of their training. That means that even a paramedic with 10 years on the job someplace else starts as an EMT if s/he makes a move to Boston EMS. (Part of the idea behind it is that it sort of levels the playing field, so to speak.) This works in your favor as you'll be someone they can mold. Someone coming in with a degree, real world work experience and the demonstrated maturity to go along with both would, in most circumstances, prove to be a better candidate for hire than someone who just wants to turn on the lights and sirens and drive fast. (At least when I've been involved in hiring decisions this was something I and others looked for. I know this carries over to other organizations as well.)

All the above taken into consideration gives you a leg up on many other candidates should you decide to move in that direction.

I'm serious, too. If you have questions please post them here. There are several current and former Mass residents and EMS providers who frequent these discussions. Give the international flavour of the rest of the members here you're guaranteed a wide ranging perspective on EMS and the way things are (or should be) done.

And don't let the lack of actual face to face conversation here harden the tone of the messages you're reading. If people want to be a jerk with how they respond trust me, you'll know.

Good luck.

-be safe

-------------------------
-be safe

*************************************
Aut inveniam, aut faciam.

"There is an incessant influx of novelty into the world, and yet we tolerate incredible dullness."
-Thoreau

roblanious
Veteran Villager

Posts: 4098
Joined: May 2006

Tue Jan 12, 2010 10:39 PM

Quote
Originally posted by: Nsho
Also this is truly about saving lives... I do of course enjoy a good adrenaline rush.

I think you will be very much dismayed. I think you watch tv and believe what you see. This is NOT about saving lives. I think you might need a reality check.

-------------------------
Greatness is not standing above our fellows and ordering them around, it is standing with them and helping them to be all they can be.
G.Arthur Keough (1909-1989) Educator

Nsho
New Forum Member

Posts: 8
Joined: Jan 2010

Wed Jan 13, 2010 8:40 AM

Quote
Originally posted by: PARAMEDICMIKE
If you had said in your very first post that you were in Boston you would have gotten much better help.

Your first, and last, stop should be Boston EMS. If you want to work EMS in your area this is where you need to be. Boston EMS is one of *the* best EMS agencies in the *country*. This is quite a feat given the rest of EMS in the Commonwealth (sorry, Elvis). Failing Boston EMS, your next bet is probably UMass in Worchester. Failing that, well, it's a big country. There are plenty of places to which you can move.

Please keep in mind, there is not a single accredited paramedic program in the entire Commonwealth. This is important to keep in mind when you're looking at paramedic school.

As for the adrenaline rush of flight medicine, it's not what you think. There is little adrenaline involved... unless you're in one of the many aircraft that have crashed in the past few years killing pilot, crew and sometimes patients. HEMS operations are one of the most dangerous jobs in the US recently.

Sure, you get to see some wicked sick patients. Sure, you might get to do some wicked cool stuff that you can't do on the ground. But air medical transport, and EMS/medicine in general, isn't about the adrenaline rush. If one gets an adrenaline rush from it that's only a bonus. If that's your reason for doing it then take up skydiving or something where the lives of others aren't relying on you.

Not trying to be harsh or unwelcoming (you're right... it is tough being a n00b), but this is something that people need to face. This isn't a job to come in and get your endorphins running and head home. This is real and the more you progress in the industry the more your patients rely on you being professional, knowledgeable and calm when dealing with them.

If you want an adrenaline rush, look elsewhere. Because honestly? The industry doesn't need adrenaline junkies. You'll burn out early and leave when you realize that it isn't the kick you thought it would've been.

If you're committed to medicine and real life people, however, stick around. This can be a very rewarding job.

I'd write more but I have to head out for a bit. Please ask other questions you may have. We here are more than happy to help answer anything you may have.

-be safe

Thank you so much for the feedback. Again my apologies for coming off a so cocky and immature with my first post. My degree is in Biotechnology Bio science and more bio...Biomarkes in Clinical Stdy as they relate to the human genome. I worked at a fairly high level with primarly C and V level Exec's in the area Biotech Companies such as Genzyme...AS you could imagine you can get a tad burnt on all the International travel especially with kids, that and the fact that most of the execs I dealt with were total @ss hats.

This is a huge sacrifice for my family both time wise and financially. I am making the move because I feel I can make a difference, I can be good at what I do, and I can be a valuable team member.

In no way am I discouraged my the flame posts...if people want to flame so be it. I have thick skin.

Edited: Wed Jan 13, 2010 at 8:44 AM by Nsho

Nsho
New Forum Member

Posts: 8
Joined: Jan 2010

Wed Jan 13, 2010 8:43 AM

Quote
Originally posted by: roblanious
Quote
Originally posted by: Nsho
Also this is truly about saving lives... I do of course enjoy a good adrenaline rush.

I think you will be very much dismayed. I think you watch tv and believe what you see. This is NOT about saving lives. I think you might need a reality check.

So then all that training you get for I don't know...CPR, De Fib...That stuff is all fluf and you never use those skills? Is that want you're saying?

Yes I want to be John Stamos just like on ER. Don't flame me if you did not read the whole thread. I have already said the adrenaline thing came off wrong.

HEWITTC4
Veteran Villager

Posts: 2268
Joined: May 2003

Wed Jan 13, 2010 11:50 AM

This industry has a huge turnover rate because people enter the field looking for an exciting job, only to find out that the majority of calls are for minor complaints, and even the serious calls are not very exciting. We rarely "save lives" and when we do it is usually for something routine, like pushing sugar in a diabetic patient, then fixing them a meal and leaving them at home. Chest pain calls are exciting for the first two. After that, they become routine. The same is true for most cardiac arrests and major trauma.

To last in this job, you need to look for something else. I don't particularly care for trauma calls. They are messy, a lot of work, and provide no challenge. I love medical calls. I have to be a detective and figure out what is the problem. Many of the calls are an opportunity to learn something new. If I was here for the excitement, I wouldn't have lasted my first month.

-------------------------
Murphy was an optimist.

PARAMEDICMIKE
Senior Forum Moderator

Posts: 3440
Joined: May 2003

Wed Jan 13, 2010 12:00 PM

Quote
Originally posted by: Nsho

So then all that training you get for I don't know...CPR, De Fib...That stuff is all fluf and you never use those skills? Is that want you're saying?

More than 95% of out of hospital cardiac arrests do not survive. Of those that do survive, less than 5% of those walk out neurologically intact. Think about those numbers for a minute. Sure, you'll do CPR. Sure, you'll defib someone. The patient will still die. It's not really fluff in the sense that we can put on a show for the family members to make it look like we're trying. But it's not really stuff that'll do much good by the time we get there (sticking strictly to the cardiac arrest implications of your post).

To help but this in perspective, of the dozens, if not hundreds of cardiac arrest patient's I've encountered, only two have survived. Of the two to survive one was a crack addict prostitute who only died later in the hospital due to a massive hemorrhagic stroke. The other was a diabetic who coded when the endotracheal tube placed by ground EMS became dislodged and they didn't realize it until I got there. The only thing that these two have in common is that they both coded right in front of me. Had I arrived five minutes later neither would've been alive upon arrival at the hospital. Individual results may vary but I don't know that you'll find too drastic a difference in the stories that other providers have. The spectacular stories people have are usually so spectacular because they so seldom happen people don't actually believe it until they read the chart.

In my entire career I can think of only a handful of cases where my interventions truly made a difference in the life or death outcome of an individual patient. That's less than ten out of *thousands* of patient contacts. That ratio isn't because I'm a bad medic. It's simply the ratio of calls. Most of what we run isn't an emergency. Most of the real emergencies we run we are simply stabilizing the patient for transport so that the hospital can do an intervention. Very few of the calls we run actually involve us walking in, identifying an immediate life threat and acting in such a manner so as to save someone's life.

This is what I was getting at earlier when I mentioned not needing adrenaline junkies. The biggest rush out of EMS is lights and sirens. That's why so many people get involved. When these adrenaline junkies realize that it's not all lights and sirens and, in fact, very little adrenaline they get bored and move on.

Coincidentally, lights and sirens are one of the most dangerous aspects of the job we do and there is a growing movement it reduce and limit, if not outright forbid, their use.

There are other threads currently in this forum discussing EMS abuse. Try here for one.

I don't think you'll find any of the regulars here who've been in the industry for a while telling you that it's not or can't be a rewarding job. The rewards, however, are much smaller than saving a life. You just have to look for them in the places where you don't think you'll find them.

A lot of people approach this job and industry with some pretty flagrant ego and bravado. My very unscientific observations have shown that those who stick around aren't the egotistical "look at me I'm save lives" type.

ETA: I'm not trying to talk you out of it. But it seems that a reality check may be needed. Hewitt, who posted while I was typing this out, makes some excellent points, too.

-be safe

-------------------------
-be safe

*************************************
Aut inveniam, aut faciam.

"There is an incessant influx of novelty into the world, and yet we tolerate incredible dullness."
-Thoreau

Edited: Wed Jan 13, 2010 at 12:02 PM by PARAMEDICMIKE

TRAININGATOEMS
Veteran Villager

Posts: 3254
Joined: May 2003

Wed Jan 13, 2010 1:16 PM

Don't let the naysayers scare you away. There is excitement to be found in the job. There is satisfaction in the job. There is also the pure pleasure of helping other human beings. A career in the EMS field is what you make of it.

It is very true that, eventually, some calls and some shifts will become routine to you, but you should remember that every call and every patient contact is an opportunity to help someone and to improve your skills.

Your situation is similar to a friend of mine who also happens to be a colleague; he has an engineering degree and he left a very successful mechanical and electrical engineering business to become a paramedic. He is now a very good paramedic and enjoys his job.

We do save lives...just not every one every time.

Peace,
RG

Zorfox
Junior Forum Member

Posts: 174
Joined: Jun 2009

Wed Jan 13, 2010 4:02 PM

NSHO,

You are lucky to have heard from many of the “grounded” providers/posters already. Essentially everything you have heard is good advice. I have worked as a medic for the last 27 years. I have always encouraged the people who understand the career and discourage the ones looking for a “rush”.

RG is correct in that we do save lives and the “rush” does linger. The truth is that those times are few and far between after the initial introduction. Prehospital medicine is a career clouded by tall tales and media coverage. Too few people ever truly understand the job. Myself nor anyone else can ever tell you what it is like until you do it for awhile.

Finish your EMT and work in the field for awhile. After a year if you feel this is a career for you continue. I would not recommend Paramedic training until you have an introduction to the “real world” of EMS. Most people want to hit the ground aiming for a flight position without ever understanding what that truly is.

I have saved lives directly, held the hands of family for the ones I never could and restructured a department through management which indirectly saved hundreds or thousands more. But honestly the times I will remember are the ones nobody will ever hear. The times I actually talked to that patient asking for advice. The time I spent with that person everyone hates to see at 3am because they were lonely. Having the person who needed ten dollars for a script he could not afford pay me back with an honest thank you. Those are the things that a true Paramedic appreciates. We have the unique opportunity to enter the lives and homes of people you never hear about. A real Paramedic is not about parades and fanfare. If you want to make a difference, the silent satisfaction you receive has to be for you and nobody else. You will never have a park named after you, nor should you. Para medicine should be reserved for those that discourage the “lime light” rather than bask in it.

If that is what you're looking for it's here. This is not the career you have in mind, that I can promise you. If after a year or two you realize this is for you you can reread this thread and appreciate it!

-------------------------

Don't follow the pack. Go your own way and leave a trail !

roblanious
Veteran Villager

Posts: 4098
Joined: May 2006

Wed Jan 13, 2010 10:38 PM

Well said, Zorfox.

I agree with Hewitt, trauma calls are usually not that spectacular, though some can be challenging. The medical patients are the good calls, where simply they may be SOB and simply need bronchodilators or Nitro and CPAP to counter pulmonary edema, or simply giving fentanyl to the young lady with painful endometriosis.

Not all helicopter services are the same, but the ones around here do more interfacility transfers than actual scene runs. And of the scene runs, USUALLY, most of the care is already done by the ground paramedics.

Listen to Zorfox. Go out and work as an EMT for a while and you will see most of what you do is transport people with minor ailments and complaints, if that at all. If simply holding the hand of a terminally ill woman with cancer is rewarding to you, then EMS is for you. If going lights and sirens to traumas and cardiac arrests is what you want, think of becoming a nurse in the ER. Then again. NO. It's the same thing.

-------------------------
Greatness is not standing above our fellows and ordering them around, it is standing with them and helping them to be all they can be.
G.Arthur Keough (1909-1989) Educator

TRAININGATOEMS
Veteran Villager

Posts: 3254
Joined: May 2003

Mon Jan 18, 2010 12:51 PM

Helicopter service responses vary depending on geographic location. Those in metropolitan areas do a bunch of interfacility transfers, but those serving more rural areas do a lot of scene calls, especially if there is not a trauma center nearby.

As zorfox said, get that EMT certification then work for a while on a ground-based ambulance. Like a wise, old paramedic once said, "You have to crawl before you can walk, and you have to walk a while before you can fly."

Peace,
RG

HEWITTC4
Veteran Villager

Posts: 2268
Joined: May 2003

Mon Jan 18, 2010 1:10 PM

Something that hasn't been mentioned and should be is that most air ambulance services are very selective in who they hire. There are a lot more applicants that jobs, so they can choose the best. This means that you will probably have to work in the field for a long time before they will even consider you.

Also, how big are you? They have height and weight limitations. I couldn't get hired by the local HEMS companies because I would have to get down to the weight I was at when I got out of boot camp. I was extremely skinny and will never get down to that weight, nor would I want to be.

-------------------------
Murphy was an optimist.

roblanious
Veteran Villager

Posts: 4098
Joined: May 2006

Tue Jan 19, 2010 11:05 PM

I knew we would get people like this after a crazy fictitious TV show. I was amazed at all the people I talked to at the college who want to get into CSI now. Then again, the show Emergency had an influence on me, but I think I was always interested.

-------------------------
Greatness is not standing above our fellows and ordering them around, it is standing with them and helping them to be all they can be.
G.Arthur Keough (1909-1989) Educator

HEWITTC4
Veteran Villager

Posts: 2268
Joined: May 2003

Tue Jan 19, 2010 11:18 PM

My nephew was originally going to major in forensic chemistry so he could get hired by CSI, one of his favorite shows. We had just watched an episode where a bus crashed and the team analyzed tire fragments. There was a sequence of shots, set to music, showing the tech examining tire fragments for 30 seconds and finished with the tech announcing that he found the clue that will solve the case. I had to point out that what took 30 seconds on screen would have probably been 3 days worth of work, looking at hundreds of nearly identical tire fragments. He now majors in industrial engineering.

-------------------------
Murphy was an optimist.

TRAININGATOEMS
Veteran Villager

Posts: 3254
Joined: May 2003

Wed Jan 20, 2010 2:03 PM

"Emergency!" did a great job of showing how EMS actually was in some areas in the 1970s, and the TV show is one of the main reasons some of us got involved in the business in the first place. "Emergency!"'s main characters, paramedics Roy DeSoto and Johnny Gauge (played by Kevin Tigue and Randolph Mantooth) showed paramedics as positive role models and not as the adrenaline junkies as most modern EMS shows depict us these days. Both actors also took an EMT class prior to production so that they could "get it right". More modern TV portrayals of EMS are well within the realm of fantasy and no one should base a career on the current shows.

But, I don't think our original poster has done that. I think he's weighing his options and if he eventually wants to become a flight medic, more power to him!

Peace,
RG

Nsho
New Forum Member

Posts: 8
Joined: Jan 2010

Wed Jan 20, 2010 2:22 PM

My goodness this post is still going. Well Class starts Monday night. I'm excited to get going. Thanks to everyone for their input I think I have a clear understanding of the job.

And my weight to fuel ratio is spot on... (checked with my helicopter pilot friend). The aircraft he is flying is smaller than most medi vac choppers from what he says.

Thanks again everyone.

HEWITTC4
Veteran Villager

Posts: 2268
Joined: May 2003

Wed Jan 20, 2010 6:23 PM

To answer your original question, Jems and EMS Magazine both have jobs listed in their classified sections. It might be worth subscribing to the magazines too, they usually have some good CE articles.

-------------------------
Murphy was an optimist.

Nsho
New Forum Member

Posts: 8
Joined: Jan 2010

Wed Jan 20, 2010 7:25 PM

fantastic, thanks for this information.

TRAININGATOEMS
Veteran Villager

Posts: 3254
Joined: May 2003

Mon Jan 25, 2010 4:05 PM

Also, some state's offices of EMS have a job posting section. Might be worth a search of your state's office of EMS.

Peace,
RG

roblanious
Veteran Villager

Posts: 4098
Joined: May 2006

Mon Jan 25, 2010 5:54 PM

I just can't wait until this person gets a reality check. I am just chuckling now. And to believe that a helicopter job is waiting as soon as paramedic training is done? Oh, that is funny. I still think this is a person getting involved for the wrong reason. Oh, well, reality will set in with real time experience.

-------------------------
Greatness is not standing above our fellows and ordering them around, it is standing with them and helping them to be all they can be.
G.Arthur Keough (1909-1989) Educator

missclampett
Senior Forum Member

Posts: 212
Joined: Apr 2008

Thu Jan 28, 2010 10:11 AM

Rob, I am all

at you... being so blunt. LOL
I guess I am not the average rookie - I have never appreciated the adrenaline rush much beyond the fact that it occassionally keeps me going on some calls that are so horrifying to the senses, you want to run screaming to mommy. I also have no ambitions to fly. I have the utmost respect for the medics that do, and I guess I realize I dont have what it takes to become one of them. Just becoming a medic on the ground was so tough, I know I wouldnt want to put my family through a shot at the moon. Maybe if I was young with no kids...haha.

Dont be discouraged. You will find your place... maybe even where you least expected or even planned. These things have a way of working themselves out. You mentioned family, so my advice would be, dont forget about them.

And I agree with Mike. Boston EMS!

-------------------------
It's not that I want you to get hurt, I just want to be there when you do.

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Former president of Milton Ambulance Service faces theft charges
Danville News, Wednesday, 06/30/2010
MILTON — The former president of Milton Ambulance Service has been charged with theft for making more than $11000 in

Ripon ambulance crew honored
Ripon Commonwealth Press (blog), Wednesday, 06/30/2010
Members of one of the Ripon Guardian Ambulance crews were honored last week Wednesday in Waupun for their role in caring for a bus-load of individuals on

Ambulance funding our latest winner as the dollars flow
Warrnambool Standard, Wednesday, 06/30/2010
Warrnambool is among 10 cities set to welcome a mobile intensive care ambulance (MICA) single responder unit, a vehicle designed to support advanced care

Millstadt residents must now dial 911 for ambulance service
Belleville News Democrat, Wednesday, 06/30/2010
MILLSTADT -- Millstadt residents who were used to calling for ambulance service directly will have to call 911 for ambulance service, beginning Thursday.

Police officers step into new medical role
Monroe Evening News, Wednesday, 06/30/2010
The council also approved a temporary agreement with Monroe Community Ambulance designating it as the first responder in the city and reducing minimum

Brumby Finally Acts on Ambulance Delays
TopNews United States, Wednesday, 06/30/2010

Premier John Brumby has declared a $56-million package that includes 10 new mobile intensive care ambulance response units.

Police: Ambulance prez stole $11000
Milton Daily Standard, Wednesday, 06/30/2010
By The Standard Journal MILTON — The former president of the Milton Ambulance Service has been charged with stealing over $11000 from the organization.

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